Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $53.35 / $159.58	Facility		$20.50	$53.35	$159.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $24.89 / $28.40	Professional		$17.57	$24.89	$28.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $17.57 / $17.57	Professional		$14.05	$17.57	$17.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $90.18 / $154.31	Facility		$32.53	$90.18	$154.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.52 / $26.06	Professional		$5.00	$15.52	$26.06
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $43.92 / $65.88	Facility		$27.82	$43.92	$65.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $29.16 / $43.92	Professional		$20.50	$29.16	$43.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $29.28	Facility		$29.28	$29.28	$29.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $58.23 / $127.13	Facility		$19.61	$58.23	$127.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $22.26 / $47.00	Professional		$15.30	$22.26	$47.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $139.08 / $139.08	Facility		$53.01	$139.08	$139.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $29.28 / $32.21	Facility		$21.96	$29.28	$32.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $29.28 / $38.15	Professional		$26.35	$29.28	$38.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $218.53 / $250.30 / $283.00	Facility		$218.53	$250.30	$283.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $29.28 / $63.94	Facility		$21.96	$29.28	$63.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $23.54 / $46.03	Professional		$15.30	$23.54	$46.03
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.66 / $19.52	Professional		$12.30	$13.66	$19.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $13.01 / $29.28	Professional		$11.42	$13.01	$29.28