Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $43.57 / $335.02	Facility		$33.11	$43.57	$335.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $43.57 / $58.09	Professional		$28.01	$43.57	$58.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $46.43 / $46.43	Professional		$33.17	$46.43	$46.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $72.26 / $185.34	Facility		$39.88	$72.26	$185.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $35.43 / $35.43	Professional		$31.57	$35.43	$35.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $53.06 / $82.01	Professional		$41.37	$53.06	$82.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $53.92 / $66.33	Facility		$53.92	$53.92	$66.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $49.23	Facility		$39.86	$39.86	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.89	Professional		$33.88	$33.88	$46.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $311.58 / $315.07 / $315.07	Facility		$311.58	$315.07	$315.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $330.32 / $497.48	Professional		$330.32	$330.32	$497.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $48.80 / $66.33	Facility		$18.16	$48.80	$66.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $59.70 / $66.33	Professional		$40.59	$59.70	$66.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $47.48 / $66.33	Facility		$18.16	$47.48	$66.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $55.16	Professional		$33.88	$33.88	$55.16
United Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $30.60 / $40.36	Professional		$23.45	$30.60	$40.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $66.33 / $115.00	Professional		$42.33	$66.33	$115.00