Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $24.44 / $35.35	Professional		$17.97	$24.44	$35.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $37.58 / $60.62	Professional		$25.06	$37.58	$60.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $124.99 / $187.99	Facility		$50.40	$124.99	$187.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.35 / $3.35	Professional		$2.89	$3.35	$3.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $30.81 / $37.31	Professional		$26.96	$30.81	$37.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $4.25 / $60.62	Facility		$4.25	$4.25	$60.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $41.84	Facility		$24.27	$24.27	$41.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $24.27 / $32.49	Professional		$20.63	$24.27	$32.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $174.00 / $174.00	Facility		$80.00	$174.00	$174.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $37.58 / $60.62	Facility		$16.60	$37.58	$60.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $33.51 / $50.74	Professional		$16.37	$33.51	$50.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $30.37 / $60.62	Facility		$16.60	$30.37	$60.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $24.27 / $31.85	Professional		$20.63	$24.27	$31.85
United Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $17.54 / $25.96	Facility		$2.18	$17.54	$25.96
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $23.96 / $36.88	Professional		$16.72	$23.96	$36.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $28.98	Professional		$26.00	$26.00	$28.98