Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $159.24 / $386.10	Facility		$29.35	$159.24	$386.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $33.58 / $44.41	Professional		$23.94	$33.58	$44.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $23.17 / $26.82	Professional		$18.54	$23.17	$26.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $120.49 / $222.84	Facility		$42.48	$120.49	$222.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.47 / $38.22	Professional		$5.00	$20.47	$38.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $59.86 / $236.87	Facility		$36.69	$59.86	$236.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $34.76 / $54.07	Professional		$27.03	$34.76	$54.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $54.07 / $54.07	Facility		$38.61	$54.07	$54.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $84.84 / $195.69	Facility		$26.98	$84.84	$195.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $28.16 / $65.09	Professional		$20.47	$28.16	$65.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.36 / $183.99 / $183.99	Facility		$141.36	$183.99	$183.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.61 / $67.59	Facility		$30.90	$38.61	$67.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $38.61 / $50.33	Professional		$34.76	$38.61	$50.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $272.98 / $373.55 / $1,128.19	Facility		$272.98	$373.55	$1,128.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.61 / $96.26	Facility		$30.90	$38.61	$96.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $29.74 / $55.80	Professional		$20.47	$29.74	$55.80
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.13 / $31.95	Professional		$16.22	$22.13	$31.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $19.07 / $38.61	Professional		$15.06	$19.07	$38.61