Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $105.62 / $174.40	Facility		$16.89	$105.62	$174.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $19.32 / $25.96	Professional		$12.45	$19.32	$25.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $13.34 / $22.23	Professional		$6.00	$13.34	$22.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $71.37 / $130.05	Facility		$26.68	$71.37	$130.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.78 / $19.78	Professional		$5.00	$11.78	$19.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $33.35 / $91.48	Facility		$20.54	$33.35	$91.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $22.22 / $35.57	Professional		$16.67	$22.22	$35.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $23.34 / $23.34	Facility		$22.23	$23.34	$23.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $48.84 / $112.38	Facility		$15.54	$48.84	$112.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $16.53 / $34.08	Professional		$11.78	$16.53	$34.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $106.14 / $106.14	Facility		$63.99	$106.14	$106.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $32.60 / $37.03	Professional		$20.01	$32.60	$37.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.23 / $41.62	Facility		$17.78	$22.23	$41.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $22.23 / $36.71	Professional		$20.01	$22.23	$36.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $96.08 / $131.47 / $350.22	Facility		$96.08	$131.47	$350.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.23 / $55.93	Facility		$17.78	$22.23	$55.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $17.30 / $31.85	Professional		$11.78	$17.30	$31.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $12.72 / $18.16	Professional		$9.34	$12.72	$18.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $10.98 / $22.23	Professional		$8.67	$10.98	$22.23