Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $257.04 / $741.31	Facility		$14.13	$257.04	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.79 / $323.59	Professional		$14.13	$14.79	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $18.20	Professional		$10.96	$10.96	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $38.90 / $74.13	Facility		$16.60	$38.90	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $33.11 / $537.03	Facility		$14.13	$33.11	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.79 / $14.79	Facility		$13.80	$14.79	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.95 / $371.54	Facility		$14.79	$19.95	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $302.00	Professional		$14.13	$15.14	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.78 / $45.71	Facility		$14.79	$17.78	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79