Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $75.86 / $302.00	Facility		$30.90	$75.86	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $47.86	Professional		$23.99	$32.36	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $54.95	Professional		$27.54	$51.29	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $72.44	Professional		$42.66	$58.88	$72.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $79.43	Facility		$72.44	$72.44	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $38.90	Professional		$28.84	$28.84	$38.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $50.12 / $109.65	Facility		$17.38	$50.12	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $72.44	Professional		$23.99	$33.11	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $48.98	Professional		$42.66	$42.66	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $53.70 / $89.13	Facility		$26.30	$53.70	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $38.90	Professional		$28.84	$28.84	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $26.92 / $61.66	Facility		$16.98	$26.92	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $38.02	Professional		$22.39	$32.36	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44