Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $171.11 / $266.44	Facility		$30.72	$171.11	$266.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $33.47 / $37.45	Professional		$23.10	$33.47	$37.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $23.10 / $23.10	Professional		$18.48	$23.10	$23.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $122.81 / $217.53	Facility		$45.04	$122.81	$217.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $21.18 / $26.18	Professional		$5.00	$21.18	$26.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.57 / $59.68 / $294.41	Facility		$35.57	$59.68	$294.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $34.65 / $57.75	Professional		$28.88	$34.65	$57.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $38.50 / $38.50	Facility		$38.50	$38.50	$38.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $84.60 / $194.34	Facility		$26.90	$84.60	$194.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $28.16 / $65.09	Professional		$20.41	$28.16	$65.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.83 / $183.99 / $183.99	Facility		$140.83	$183.99	$183.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $56.20 / $63.85	Professional		$34.56	$56.20	$63.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $38.50 / $59.16	Facility		$30.80	$38.50	$59.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $38.50 / $50.17	Professional		$34.65	$38.50	$50.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $124.97 / $171.00 / $378.10	Facility		$124.97	$171.00	$378.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $38.50 / $95.94	Facility		$30.80	$38.50	$95.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $29.65 / $55.62	Professional		$20.41	$29.65	$55.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $22.23 / $38.17	Professional		$16.17	$22.23	$38.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $19.01 / $38.50	Professional		$15.02	$19.01	$38.50