Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.55 / $166.24 / $443.40	Facility		$49.55	$166.24	$443.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $19.78 / $67.80	Professional		$10.32	$19.78	$67.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $11.36 / $21.72	Professional		$7.48	$11.36	$21.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.57 / $87.47 / $204.64	Facility		$47.57	$87.47	$204.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $11.59 / $17.37	Professional		$8.57	$11.59	$17.37
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $72.58 / $304.08	Facility		$9.86	$72.58	$304.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $15.50 / $25.47	Professional		$11.32	$15.50	$25.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $12.99 / $12.99	Facility		$12.07	$12.99	$12.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $13.02	Facility		$13.02	$13.02	$13.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $24.63 / $47.64	Professional		$10.67	$24.63	$47.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,922.50	Facility		$55.00	$55.00	$2,922.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $804.00 / $804.00 / $804.00	Professional		$804.00	$804.00	$804.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $20.65 / $35.79	Facility		$10.85	$20.65	$35.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $18.11 / $45.28	Professional		$12.43	$18.11	$45.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $128.38 / $393.00	Facility		$23.15	$128.38	$393.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $16.64 / $30.39	Professional		$12.01	$16.64	$30.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $20.66 / $33.11	Facility		$10.69	$20.66	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $22.48 / $36.33	Professional		$11.26	$22.48	$36.33
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,376.00	Facility		$161.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $16.89 / $30.93	Professional		$9.42	$16.89	$30.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $14.92 / $20.14	Professional		$9.66	$14.92	$20.14