Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $92.71 / $185.09	Facility		$21.01	$92.71	$185.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $24.73 / $27.80	Professional		$17.51	$24.73	$27.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $16.68 / $16.68	Professional		$13.34	$16.68	$16.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $90.91 / $164.02	Facility		$34.47	$90.91	$164.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.73 / $24.74	Professional		$5.00	$14.73	$24.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $41.70 / $77.95	Facility		$26.41	$41.70	$77.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $27.77 / $42.13	Professional		$19.46	$27.77	$42.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $27.52 / $27.80	Facility		$27.52	$27.52	$27.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $61.08 / $140.16	Facility		$19.42	$61.08	$140.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $20.39 / $47.05	Professional		$14.73	$20.39	$47.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.20 / $133.26 / $133.26	Facility		$100.20	$133.26	$133.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $27.80 / $41.35	Facility		$22.24	$27.80	$41.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $27.80 / $36.22	Professional		$25.02	$27.80	$36.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $103.39 / $214.96	Facility		$79.92	$103.39	$214.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $27.80 / $69.75	Facility		$22.24	$27.80	$69.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $21.41 / $40.17	Professional		$14.73	$21.41	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $16.02 / $25.20	Professional		$11.68	$16.02	$25.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $13.73 / $27.80	Professional		$10.84	$13.73	$27.80