Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $97.72 / $234.42	Facility		$16.98	$97.72	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $20.89	Professional		$10.96	$15.14	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $54.95 / $97.72	Facility		$19.95	$54.95	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.23 / $18.62	Professional		$5.01	$10.23	$18.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.30 / $56.23	Facility		$16.60	$26.30	$56.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $20.89 / $20.89	Facility		$18.62	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.78 / $83.18	Facility		$12.02	$17.78	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.13 / $32.36	Professional		$8.32	$14.13	$32.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $38.02 / $218.78	Facility		$13.49	$38.02	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $21.88	Professional		$10.96	$15.85	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.49 / $15.49	Professional		$14.13	$15.49	$15.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,454.71 / $3,311.31	Facility		$616.60	$2,454.71	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $18.62 / $45.71	Facility		$13.18	$18.62	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.45 / $30.90	Professional		$8.51	$14.45	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $9.55 / $18.62	Facility		$6.76	$9.55	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $18.62	Professional		$7.76	$7.76	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $18.62	Professional		$7.24	$7.24	$18.62