Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $62.50 / $140.00	Professional		$45.00	$62.50	$140.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $50.26 / $59.83	Facility		$44.27	$50.26	$59.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $44.17 / $45.74	Professional		$42.00	$44.17	$45.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $75.00	Professional		$40.00	$40.00	$75.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Facility		$45.00	$50.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $62.50	Professional		$45.00	$60.00	$62.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $270.00	Facility		$270.00	$270.00	$270.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $30.00 / $30.00	Facility		$25.50	$30.00	$30.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $49.00 / $75.00	Professional		$30.00	$49.00	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Facility		$30.00	$30.00	$55.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $75.00	Professional		$30.00	$60.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $49.89	Professional		$40.00	$40.00	$49.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $60.00	Professional		$40.00	$40.00	$60.00