Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $812.83 / $6,165.95	Facility		$29.51	$812.83	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $2,951.21	Professional		$28.84	$30.20	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $29.51	Professional		$25.12	$25.12	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $43.65 / $83.18	Facility		$18.62	$43.65	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $47.86 / $2,754.23	Facility		$20.42	$47.86	$2,754.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $32.36 / $46.77	Professional		$16.60	$32.36	$46.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $29.51 / $29.51	Facility		$27.54	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $52.48 / $6,025.60	Facility		$29.51	$52.48	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $2,290.87	Professional		$28.84	$30.20	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $29.51	Professional		$27.54	$27.54	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $93.33	Facility		$29.51	$41.69	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $31.62	Professional		$29.51	$29.51	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $33.11	Professional		$29.51	$33.11	$33.11