Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $54.68 / $152.69	Facility		$18.70	$54.68	$152.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $22.47 / $23.21	Professional		$16.43	$22.47	$23.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $15.16 / $17.55	Professional		$12.13	$15.16	$17.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $83.30 / $145.81	Facility		$31.33	$83.30	$145.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.39 / $22.49	Professional		$5.00	$13.39	$22.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $39.17 / $154.99	Facility		$23.35	$39.17	$154.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $25.00 / $37.90	Professional		$18.95	$25.00	$37.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Facility		$25.27	$25.27	$25.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $55.53 / $128.26	Facility		$17.66	$55.53	$128.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $18.41 / $42.67	Professional		$13.39	$18.41	$42.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $120.82 / $120.82	Facility		$95.02	$120.82	$120.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $25.27 / $37.78	Facility		$20.22	$25.27	$37.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $25.27 / $35.06	Professional		$22.74	$25.27	$35.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.27 / $270.20 / $1,256.38	Facility		$234.27	$270.20	$1,256.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $25.27 / $63.26	Facility		$20.22	$25.27	$63.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $19.46 / $36.51	Professional		$13.39	$19.46	$36.51
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $14.83 / $23.10	Professional		$10.61	$14.83	$23.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.48 / $25.27	Professional		$9.86	$12.48	$25.27