Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $14.99 / $26.65	Professional		$10.74	$14.99	$26.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $10.13	Professional		$10.13	$10.13	$10.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $24.31 / $56.27	Facility		$18.03	$24.31	$56.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.14 / $28.36	Professional		$5.00	$11.14	$28.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $20.76 / $50.40	Professional		$14.18	$20.76	$50.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $80.00	Facility		$28.36	$28.36	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $10.65	Professional		$10.65	$10.65	$10.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $96.72 / $96.72	Facility		$47.24	$96.72	$96.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $146.19 / $151.94	Professional		$142.29	$146.19	$151.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $27.64 / $42.47	Facility		$17.22	$27.64	$42.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $20.26 / $25.33	Professional		$19.25	$20.26	$25.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $27.64 / $48.85	Facility		$17.02	$27.64	$48.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $25.33	Professional		$10.65	$10.65	$25.33
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.59 / $16.76	Professional		$8.51	$11.59	$16.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $10.49 / $20.26	Professional		$7.90	$10.49	$20.26