Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $78.19 / $198.26	Facility		$16.05	$78.19	$198.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $16.48 / $22.16	Professional		$12.32	$16.48	$22.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $11.38 / $13.17	Professional		$9.10	$11.38	$13.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $60.67 / $110.60	Facility		$22.18	$60.67	$110.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.05 / $18.57	Professional		$5.00	$10.05	$18.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $29.39 / $132.93	Facility		$18.01	$29.39	$132.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $18.75 / $30.34	Professional		$14.22	$18.75	$30.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $24.05 / $24.05	Facility		$18.96	$24.05	$24.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $41.64 / $95.18	Facility		$13.25	$41.64	$95.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $15.91 / $31.73	Professional		$10.68	$15.91	$31.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $95.40 / $95.40	Facility		$75.03	$95.40	$95.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $18.96 / $42.00	Facility		$15.17	$18.96	$42.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $18.96 / $31.55	Professional		$17.05	$18.96	$31.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $86.04 / $1,117.33	Facility		$62.88	$86.04	$1,117.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $18.96 / $47.28	Facility		$15.17	$18.96	$47.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $18.03 / $31.55	Professional		$10.68	$18.03	$31.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $10.85 / $16.30	Professional		$7.96	$10.85	$16.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $9.36 / $18.96	Professional		$7.39	$9.36	$18.96