Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $104.71 / $331.13	Facility		$61.66	$104.71	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $75.86	Professional		$61.66	$63.10	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $120.23 / $218.78	Facility		$47.86	$120.23	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $77.62 / $269.15	Facility		$41.69	$77.62	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $229.09	Facility		$61.66	$100.00	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $72.44	Professional		$54.95	$63.10	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $204.17	Facility		$61.66	$77.62	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74