Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.68 / $48.34 / $97.51	Facility		$35.68	$48.34	$97.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $43.16 / $57.55	Professional		$27.76	$43.16	$57.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $46.01 / $51.15	Professional		$39.15	$46.01	$51.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $69.41 / $182.53	Facility		$39.52	$69.41	$182.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $35.11 / $35.11	Professional		$31.28	$35.11	$35.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $49.30 / $65.73	Professional		$40.61	$49.30	$65.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $51.80 / $65.73	Facility		$51.80	$51.80	$65.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $48.77	Facility		$39.47	$39.47	$48.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $33.56 / $46.45	Professional		$33.56	$33.56	$46.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $308.79 / $312.22 / $312.22	Facility		$308.79	$312.22	$312.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $327.33 / $327.33 / $492.98	Professional		$327.33	$327.33	$492.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $48.34 / $65.73	Facility		$18.00	$48.34	$65.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $59.16 / $65.73	Professional		$40.22	$59.16	$65.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $47.05 / $65.73	Facility		$18.00	$47.05	$65.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $33.56 / $54.65	Professional		$33.56	$33.56	$54.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $30.32 / $39.99	Professional		$23.07	$30.32	$39.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $41.96 / $65.73	Professional		$41.96	$41.96	$65.73