Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $21.38	Facility		$16.98	$16.98	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $20.89	Professional		$10.00	$16.98	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.05 / $25.70	Facility		$16.60	$19.05	$25.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $20.89	Professional		$10.96	$16.98	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $81.28	Professional		$21.38	$21.38	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $25.70	Facility		$16.22	$19.05	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $16.98	Professional		$10.96	$16.98	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $33.11	Professional		$12.88	$20.89	$33.11