Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.90 / $3,090.30	Facility		$15.14	$30.90	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.50	Professional		$15.14	$15.14	$19.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $38.02 / $72.44	Facility		$15.49	$38.02	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $35.48 / $4,677.35	Facility		$15.49	$35.48	$4,677.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.49 / $15.49	Facility		$14.79	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $100.00	Facility		$85.11	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.50 / $3,090.30	Facility		$15.49	$19.50	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $16.98	Professional		$15.14	$15.14	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.39 / $47.86	Facility		$15.14	$22.39	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $16.98	Professional		$15.14	$15.14	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49