Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $71.54 / $143.31	Facility		$12.30	$71.54	$143.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $14.38 / $22.21	Professional		$9.71	$14.38	$22.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $9.71 / $11.23	Professional		$7.77	$9.71	$11.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $53.39 / $96.76	Facility		$20.05	$53.39	$96.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.58 / $14.40	Professional		$5.00	$8.58	$14.40
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $26.70 / $96.89	Facility		$16.18	$26.70	$96.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $15.33 / $24.27	Professional		$11.33	$15.33	$24.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $15.86 / $16.18	Facility		$15.86	$15.86	$16.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $35.56 / $81.96	Facility		$11.30	$35.56	$81.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $11.73 / $27.35	Professional		$8.58	$11.73	$27.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $79.59 / $100.00	Facility		$59.83	$79.59	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $16.18 / $24.26	Facility		$12.94	$16.18	$24.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $16.18 / $21.08	Professional		$15.28	$16.18	$21.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $254.99 / $1,856.11	Facility		$197.09	$254.99	$1,856.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $16.18 / $40.54	Facility		$12.94	$16.18	$40.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.44 / $23.46	Professional		$8.58	$12.44	$23.46
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $9.32 / $15.75	Professional		$6.80	$9.32	$15.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.99 / $16.18	Professional		$6.31	$7.99	$16.18