Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $62.08 / $225.79	Facility		$14.16	$62.08	$225.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.42 / $24.40	Professional		$11.18	$13.42	$24.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $11.18	Professional		$8.94	$8.94	$11.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $58.16 / $104.38	Facility		$20.88	$58.16	$104.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.88 / $16.59	Professional		$5.00	$9.88	$16.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $29.82 / $89.40	Facility		$18.64	$29.82	$89.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $18.64 / $27.96	Professional		$13.98	$18.64	$27.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $18.64	Facility		$18.64	$18.64	$18.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $31.69 / $82.51	Facility		$13.03	$31.69	$82.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $13.05 / $28.64	Professional		$9.15	$13.05	$28.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.80 / $104.01 / $104.01	Facility		$81.80	$104.01	$104.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $18.64 / $22.55	Facility		$13.58	$18.64	$22.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $18.64 / $24.23	Professional		$16.78	$18.64	$24.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $209.27 / $280.58 / $286.37	Facility		$209.27	$280.58	$286.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $18.64 / $43.27	Facility		$13.58	$18.64	$43.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $13.70 / $23.04	Professional		$9.15	$13.70	$23.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $18.64	Professional		$7.83	$7.83	$18.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.27 / $9.66	Professional		$7.27	$7.27	$9.66