Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $19.93 / $26.47	Professional		$14.19	$19.93	$26.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $18.19 / $18.19	Professional		$18.19	$18.19	$18.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $105.48 / $120.74	Facility		$32.36	$105.48	$120.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.48 / $2.48	Professional		$2.23	$2.48	$2.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $23.57	Professional		$23.57	$23.57	$23.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $48.73 / $48.73	Facility		$33.61	$48.73	$48.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $33.06	Facility		$22.28	$22.28	$33.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $22.28 / $29.25	Professional		$18.94	$22.28	$29.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $159.78 / $159.78	Facility		$80.00	$159.78	$159.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $23.77 / $36.36	Facility		$11.56	$23.77	$36.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $27.31 / $36.36	Professional		$3.39	$27.31	$36.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $22.28 / $36.36	Facility		$11.56	$22.28	$36.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $22.28 / $29.25	Professional		$18.94	$22.28	$29.25
United Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $17.96 / $25.68	Professional		$13.45	$17.96	$25.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $26.78 / $26.78	Professional		$23.30	$26.78	$26.78