Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $79.88 / $214.34	Facility		$18.47	$79.88	$214.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $12.17 / $15.96	Professional		$6.88	$12.17	$15.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.21 / $9.50	Professional		$4.79	$8.21	$9.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $42.96 / $78.93	Facility		$15.05	$42.96	$78.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.25 / $9.58	Professional		$5.00	$7.25	$9.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $21.89 / $83.83	Facility		$13.68	$21.89	$83.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $13.54 / $20.52	Professional		$10.26	$13.54	$20.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $13.41 / $13.68	Facility		$13.41	$13.41	$13.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $30.05 / $68.75	Facility		$9.56	$30.05	$68.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.51 / $22.98	Professional		$7.25	$10.51	$22.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $64.98 / $100.00	Facility		$50.00	$64.98	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $17.32 / $24.16	Professional		$12.20	$17.32	$24.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $13.68 / $25.00	Facility		$10.94	$13.68	$25.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $13.68 / $17.82	Professional		$11.63	$13.68	$17.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $441.82 / $669.74 / $2,838.00	Facility		$441.82	$669.74	$2,838.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $13.68 / $34.04	Facility		$10.94	$13.68	$34.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.64 / $19.57	Professional		$7.25	$10.64	$19.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.82 / $11.32	Professional		$5.75	$7.82	$11.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $13.68	Professional		$6.75	$6.75	$13.68