Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $75.86 / $158.49	Facility		$44.67	$75.86	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $3,630.78	Professional		$44.67	$44.67	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $89.13 / $165.96	Facility		$36.31	$89.13	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $77.62 / $2,691.53	Facility		$36.31	$77.62	$2,691.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $45.71 / $45.71	Facility		$42.66	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $109.65	Facility		$40.74	$54.95	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $123.03	Professional		$44.67	$45.71	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $40.74	Professional		$38.02	$38.02	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $58.88 / $131.83	Facility		$39.81	$58.88	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $48.98	Professional		$41.69	$41.69	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $45.71 / $45.71	Facility		$44.67	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71