Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $43.74 / $472.27	Facility		$15.18	$43.74	$472.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $28.89 / $68.18	Professional		$20.68	$28.89	$68.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $44.33 / $44.33	Professional		$44.33	$44.33	$44.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $34.79 / $63.72	Facility		$14.53	$34.79	$63.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $23.55 / $32.34	Professional		$13.79	$23.55	$32.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.93 / $54.85 / $283.00	Facility		$35.93	$54.85	$283.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $34.36 / $34.36	Professional		$34.36	$34.36	$34.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.06 / $31.64 / $33.08	Facility		$31.06	$31.64	$33.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $109.31 / $121.28	Facility		$44.79	$109.31	$121.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $33.79 / $85.83	Professional		$24.59	$33.79	$85.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $514.16 / $539.87	Facility		$71.64	$514.16	$539.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $787.00 / $787.00 / $787.00	Professional		$787.00	$787.00	$787.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $47.60 / $127.10	Facility		$27.91	$47.60	$127.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $48.53 / $59.52	Professional		$31.24	$48.53	$59.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $118.80 / $118.80	Professional		$118.80	$118.80	$118.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $53.09 / $127.34	Facility		$28.57	$53.09	$127.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $34.95 / $85.36	Professional		$25.53	$34.95	$85.36
United Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $34.82 / $62.53	Professional		$26.55	$34.82	$62.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $31.24 / $43.93	Professional		$27.61	$31.24	$43.93