Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $31.85 / $63.70	Facility		$31.85	$31.85	$63.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $34.40 / $63.70	Professional		$31.54	$34.40	$63.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $54.56 / $54.56	Professional		$54.56	$54.56	$54.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $43.32 / $43.32	Professional		$34.61	$43.32	$43.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $58.19 / $89.93	Professional		$44.96	$58.19	$89.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $57.33 / $72.73	Facility		$57.33	$57.33	$72.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $46.82 / $47.76	Facility		$46.82	$46.82	$47.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $46.82	Professional		$34.18	$34.18	$46.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $338.32 / $338.32	Facility		$121.56	$338.32	$338.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $364.44 / $529.79	Professional		$364.44	$364.44	$529.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $50.70 / $72.73	Facility		$20.87	$50.70	$72.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $66.92 / $73.36	Professional		$21.10	$66.92	$73.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $48.61 / $72.73	Facility		$20.87	$48.61	$72.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $49.91	Professional		$34.18	$34.18	$49.91
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $39.85 / $51.27	Professional		$26.94	$39.85	$51.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $44.76 / $72.73	Professional		$43.79	$44.76	$72.73