Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $260.64 / $828.25	Facility		$25.94	$260.64	$828.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $6.55 / $9.18	Professional		$4.48	$6.55	$9.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.76 / $8.46	Professional		$4.05	$5.76	$8.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $20.20 / $44.67	Facility		$5.50	$20.20	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $5.50 / $6.77	Professional		$4.82	$5.50	$6.77
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $7.82 / $13.11 / $108.71	Facility		$7.82	$13.11	$108.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $8.46 / $13.54	Professional		$6.35	$8.46	$13.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $8.46 / $8.46	Facility		$8.46	$8.46	$8.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $18.48 / $38.45	Facility		$5.92	$18.48	$38.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $9.50 / $17.89	Professional		$4.48	$9.50	$17.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $80.30 / $80.30	Facility		$63.15	$80.30	$80.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $10.59 / $14.89	Professional		$7.48	$10.59	$14.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $9.31 / $432.75	Facility		$6.85	$9.31	$432.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $8.46 / $15.40	Professional		$7.61	$8.46	$15.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,391.66 / $4,516.47 / $19,175.09	Facility		$3,391.66	$4,516.47	$19,175.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $8.46 / $21.09	Facility		$6.73	$8.46	$21.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $8.46 / $12.22	Professional		$4.48	$8.46	$12.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.84 / $6.91	Professional		$3.55	$4.84	$6.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.18 / $8.46	Professional		$4.18	$4.18	$8.46