Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $79.43 / $162.18	Facility		$20.89	$79.43	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $33.11	Professional		$18.20	$24.55	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $42.66	Professional		$13.49	$16.98	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $93.33 / $165.96	Facility		$37.15	$93.33	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $15.14 / $26.92	Professional		$5.01	$15.14	$26.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $41.69 / $77.62	Facility		$25.70	$41.69	$77.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $44.67	Professional		$19.50	$28.84	$44.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $60.26 / $147.91	Facility		$26.92	$60.26	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $46.77	Professional		$14.79	$19.95	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.30 / $41.69	Professional		$23.44	$26.30	$41.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $144.54	Facility		$20.89	$27.54	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $36.31	Professional		$15.85	$25.12	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.44 / $23.44	Professional		$20.89	$23.44	$23.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $181.97	Facility		$102.33	$181.97	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.54 / $81.28	Facility		$22.39	$27.54	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $46.77	Professional		$15.85	$20.42	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $18.62 / $27.54	Facility		$10.00	$18.62	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $25.12	Professional		$11.75	$16.22	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $27.54	Professional		$10.96	$10.96	$27.54