Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $20.28 / $23.02	Facility		$15.62	$20.28	$23.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $20.56 / $27.61	Professional		$15.62	$20.56	$27.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $18.77 / $18.77	Professional		$18.77	$18.77	$18.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $17.89 / $20.01	Facility		$16.48	$17.89	$20.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $14.90 / $16.72	Professional		$14.90	$14.90	$16.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $25.03 / $38.70	Professional		$19.35	$25.03	$38.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $31.29 / $31.29	Facility		$31.29	$31.29	$31.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $18.95 / $18.95	Facility		$12.57	$18.95	$18.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $22.29	Professional		$16.11	$16.11	$22.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $148.63 / $148.63	Facility		$146.94	$148.63	$148.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.82 / $155.82 / $236.48	Professional		$155.82	$155.82	$236.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $23.52 / $31.39	Facility		$8.64	$23.52	$31.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $28.16 / $31.29	Professional		$10.65	$28.16	$31.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $22.42 / $31.29	Facility		$8.64	$22.42	$31.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $26.22	Professional		$16.11	$16.11	$26.22
United Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $14.56 / $19.19	Professional		$11.15	$14.56	$19.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.82 / $31.29	Professional		$16.45	$16.82	$31.29