Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $19.21 / $33.56	Professional		$15.43	$19.21	$33.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $40.98 / $49.91	Professional		$20.49	$40.98	$49.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $139.44 / $160.84	Facility		$41.50	$139.44	$160.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.76 / $2.76	Professional		$2.38	$2.76	$2.76
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $28.32 / $30.09	Professional		$24.78	$28.32	$30.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $31.58 / $49.91	Facility		$26.99	$31.58	$49.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $34.24	Facility		$19.82	$19.82	$34.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.82 / $26.55	Professional		$16.86	$19.82	$26.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $142.13 / $142.13	Facility		$76.00	$142.13	$142.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $35.15 / $49.91	Facility		$16.34	$35.15	$49.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $26.99 / $45.92	Professional		$4.59	$26.99	$45.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $26.55 / $49.91	Facility		$16.34	$26.55	$49.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.82 / $26.55	Professional		$16.86	$19.82	$26.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $21.90 / $36.29	Professional		$12.79	$21.90	$36.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $23.90 / $23.90	Professional		$18.76	$23.90	$23.90