Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $36.64 / $41.60	Facility		$28.23	$36.64	$41.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $37.14 / $49.52	Professional		$28.23	$37.14	$49.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $33.94 / $36.52	Professional		$33.94	$33.94	$36.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $69.13 / $159.46	Facility		$32.29	$69.13	$159.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $30.21	Professional		$26.92	$26.92	$30.21
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $42.42 / $56.56	Professional		$34.96	$42.42	$56.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $56.56	Facility		$56.56	$56.56	$56.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $37.58	Facility		$33.97	$33.97	$37.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $35.97	Professional		$28.88	$28.88	$35.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $265.68 / $268.66 / $268.66	Facility		$265.68	$268.66	$268.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.67 / $281.67 / $424.20	Professional		$281.67	$281.67	$424.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $41.60 / $56.56	Facility		$15.48	$41.60	$56.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $50.90 / $56.56	Professional		$34.61	$50.90	$56.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $40.47 / $56.56	Facility		$15.48	$40.47	$56.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $47.03	Professional		$28.88	$28.88	$47.03
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $26.09 / $34.40	Professional		$19.98	$26.09	$34.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $28.34 / $56.56	Professional		$28.34	$28.34	$56.56