Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $90.92 / $120.77	Professional		$71.92	$90.92	$120.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $66.40 / $72.00	Professional		$60.00	$66.40	$72.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $45.76 / $78.73	Facility		$21.11	$45.76	$78.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $16.01 / $16.01	Professional		$16.01	$16.01	$16.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $103.27 / $125.40	Professional		$15.08	$103.27	$125.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $18.89 / $123.60	Facility		$18.89	$18.89	$123.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $116.40	Facility		$88.70	$88.70	$116.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $75.40 / $116.40	Professional		$75.40	$75.40	$116.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $196.86 / $196.86	Facility		$80.00	$196.86	$196.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $28.87 / $103.13	Facility		$17.68	$28.87	$103.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $23.04 / $212.37	Professional		$11.37	$23.04	$212.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $80.59 / $100.22	Facility		$20.30	$80.59	$100.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $75.40 / $116.40	Professional		$23.04	$75.40	$116.40
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $11.06 / $105.82	Professional		$5.93	$11.06	$105.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $104.45 / $161.94	Professional		$104.45	$104.45	$161.94