Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $104.19 / $455.70	Facility		$20.14	$104.19	$455.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $17.54 / $34.82	Professional		$14.94	$17.54	$34.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $14.45 / $15.06	Professional		$11.56	$14.45	$15.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $75.16 / $130.09	Facility		$27.22	$75.16	$130.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.25 / $16.86	Professional		$5.00	$13.25	$16.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $38.54 / $110.78	Facility		$22.89	$38.54	$110.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $23.96 / $36.14	Professional		$18.07	$23.96	$36.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $23.85 / $24.09	Facility		$23.85	$23.85	$24.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $41.70 / $102.47	Facility		$16.36	$41.70	$102.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $13.51 / $36.65	Professional		$11.57	$13.51	$36.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $114.43 / $114.43	Facility		$85.48	$114.43	$114.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $26.99 / $39.70	Professional		$21.49	$26.99	$39.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $24.09 / $29.63	Facility		$17.54	$24.09	$29.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $24.09 / $25.05	Professional		$21.68	$24.09	$25.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $257.69 / $476.02 / $989.79	Facility		$257.69	$476.02	$989.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $24.09 / $55.61	Facility		$17.54	$24.09	$55.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $15.66 / $26.08	Professional		$11.57	$15.66	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.60 / $14.75	Professional		$10.11	$10.60	$14.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.64 / $24.09	Professional		$9.40	$9.64	$24.09