Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $16.75 / $22.25	Professional		$11.99	$16.75	$22.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Professional		$28.97	$28.97	$28.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $84.78 / $95.19	Facility		$25.52	$84.78	$95.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.95 / $1.95	Professional		$1.75	$1.95	$1.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.48 / $20.03	Professional		$16.20	$16.48	$20.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $28.71 / $29.24	Facility		$28.71	$28.71	$29.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $27.93	Facility		$18.77	$18.77	$27.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $18.77 / $24.64	Professional		$15.95	$18.77	$24.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $134.69 / $136.37	Facility		$80.00	$134.69	$136.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $20.17 / $29.24	Facility		$9.27	$20.17	$29.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $24.40 / $28.71	Professional		$2.68	$24.40	$28.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $18.77 / $29.24	Facility		$9.27	$18.77	$29.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $18.77 / $24.03	Professional		$15.95	$18.77	$24.03
United Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $14.14 / $20.62	Professional		$11.34	$14.14	$20.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $21.52 / $21.52	Professional		$19.39	$21.52	$21.52