Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $89.13	Facility		$39.81	$57.54	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $67.61	Professional		$30.20	$45.71	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $87.10	Professional		$56.23	$70.79	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $74.13 / $138.04	Facility		$33.88	$74.13	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $69.18	Professional		$37.15	$52.48	$69.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $85.11	Professional		$67.61	$77.62	$85.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $67.61	Facility		$43.65	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $91.20	Professional		$30.20	$52.48	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $81.28	Facility		$35.48	$50.12	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $89.13	Professional		$32.36	$48.98	$89.13
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	25	$77.62	$77.62	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $81.28	Facility		$33.88	$50.12	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $91.20	Professional		$30.90	$52.48	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $42.66 / $64.57	Professional		$24.55	$42.66	$64.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $93.33	Professional		$40.74	$75.86	$93.33