Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $61.87 / $82.52	Professional		$45.09	$61.87	$82.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $118.70 / $118.70	Professional		$118.70	$118.70	$118.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $98.70 / $368.15	Facility		$95.62	$98.70	$368.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.55 / $6.55	Professional		$5.89	$6.55	$6.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $88.50 / $94.04	Professional		$77.44	$88.50	$94.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.18 / $91.18 / $118.70	Facility		$91.18	$91.18	$118.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $94.82	Facility		$64.23	$64.23	$94.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $71.44	Professional		$54.60	$54.60	$71.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $433.65 / $433.65	Facility		$141.19	$433.65	$433.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $64.65 / $118.70	Facility		$52.02	$64.65	$118.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $77.50 / $91.18	Professional		$31.75	$77.50	$91.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $64.23 / $118.70	Facility		$52.02	$64.23	$118.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $64.23	Professional		$54.60	$54.60	$64.23
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $57.37 / $81.28	Professional		$38.97	$57.37	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $72.98 / $72.98	Professional		$72.98	$72.98	$72.98