Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $16.14 / $23.87	Professional		$11.67	$16.14	$23.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $26.48 / $39.38	Professional		$25.00	$26.48	$39.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $81.22 / $122.16	Facility		$32.75	$81.22	$122.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.39 / $2.39	Professional		$2.06	$2.39	$2.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $18.04 / $19.17	Professional		$15.79	$18.04	$19.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $49.84 / $49.84	Facility		$23.53	$49.84	$49.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $27.51	Facility		$15.88	$15.88	$27.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.88 / $21.26	Professional		$13.50	$15.88	$21.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $113.86 / $123.36	Facility		$80.00	$113.86	$123.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $25.37 / $39.38	Facility		$11.38	$25.37	$39.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $21.65 / $30.83	Professional		$11.23	$21.65	$30.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $20.91 / $39.38	Facility		$11.38	$20.91	$39.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.88 / $21.26	Professional		$13.50	$15.88	$21.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $16.32 / $25.28	Professional		$10.77	$16.32	$25.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $19.59 / $19.59	Professional		$18.97	$19.59	$19.59