Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $60.94 / $82.96	Professional		$45.86	$60.94	$82.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $116.59 / $116.59	Professional		$116.59	$116.59	$116.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $345.24 / $395.84	Facility		$102.75	$345.24	$395.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $7.86 / $7.86	Professional		$7.07	$7.86	$7.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $68.11 / $75.00	Professional		$66.40	$68.11	$75.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $98.87 / $122.85	Facility		$98.87	$98.87	$122.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $102.18	Facility		$66.38	$66.38	$102.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $87.12	Professional		$56.42	$66.38	$87.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $152.60 / $476.10 / $476.10	Facility		$152.60	$476.10	$476.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $85.60 / $122.85	Facility		$39.02	$85.60	$122.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $84.76 / $111.55	Professional		$11.30	$84.76	$111.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $71.41 / $122.85	Facility		$39.02	$71.41	$122.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $87.12	Professional		$56.42	$66.38	$87.12
United Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $59.38 / $86.71	Professional		$41.83	$59.38	$86.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $80.98 / $80.98	Professional		$77.83	$80.98	$80.98