Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $68.00 / $114.94	Facility		$16.03	$68.00	$114.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $15.24 / $30.70	Professional		$12.65	$15.24	$30.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $12.65 / $21.09	Professional		$7.38	$12.65	$21.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.83 / $64.95 / $111.14	Facility		$23.83	$64.95	$111.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.60 / $14.13	Professional		$5.00	$11.60	$14.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $26.36 / $47.45	Facility		$18.98	$26.36	$47.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $21.41 / $33.74	Professional		$15.82	$21.41	$33.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $20.67 / $21.09	Facility		$20.67	$20.67	$21.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $35.58 / $93.00	Facility		$14.74	$35.58	$93.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $11.92 / $32.01	Professional		$9.99	$11.92	$32.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.18 / $100.18	Facility		$50.00	$100.18	$100.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $22.96 / $34.86	Professional		$18.88	$22.96	$34.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $21.09 / $25.31	Facility		$15.36	$21.09	$25.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $21.09 / $25.15	Professional		$18.98	$21.09	$25.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $203.89 / $510.53	Facility		$149.32	$203.89	$510.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $21.09 / $48.09	Facility		$15.36	$21.09	$48.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $15.54 / $22.20	Professional		$10.38	$15.54	$22.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.93 / $13.17	Professional		$8.86	$8.93	$13.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.44 / $21.09	Professional		$8.23	$8.44	$21.09