Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $22.89 / $28.76	Facility		$17.62	$22.89	$28.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $23.20 / $30.93	Professional		$16.44	$23.20	$30.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $24.73 / $24.73	Professional		$24.73	$24.73	$24.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $38.42 / $98.10	Facility		$22.57	$38.42	$98.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.98 / $18.87	Professional		$16.80	$16.98	$18.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $22.99 / $35.32	Facility		$15.00	$22.99	$35.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $28.26 / $35.32	Professional		$22.03	$28.26	$35.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $35.32	Facility		$9.52	$9.52	$35.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.22 / $21.22	Facility		$12.60	$21.22	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $21.86	Professional		$18.04	$18.04	$21.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $157.81 / $167.77 / $167.77	Facility		$157.81	$167.77	$167.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.89 / $175.89 / $255.60	Professional		$175.89	$175.89	$255.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $26.52 / $35.32	Facility		$9.68	$26.52	$35.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $30.02 / $35.32	Professional		$11.93	$30.02	$35.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $25.29 / $35.32	Facility		$9.68	$25.29	$35.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $27.42	Professional		$18.04	$18.04	$27.42
United Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $16.30 / $21.50	Professional		$12.48	$16.30	$21.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $15.93 / $35.32	Professional		$15.93	$15.93	$35.32