Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $98.07 / $158.90	Facility		$16.16	$98.07	$158.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $16.72 / $20.67	Professional		$11.27	$16.72	$20.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $11.27 / $13.05	Professional		$6.58	$11.27	$13.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $60.13 / $109.57	Facility		$21.42	$60.13	$109.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.96 / $18.41	Professional		$5.00	$9.96	$18.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $30.06 / $112.55	Facility		$17.36	$30.06	$112.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $18.75 / $26.31	Professional		$13.15	$18.75	$26.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $18.80 / $18.80	Facility		$18.79	$18.80	$18.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $41.27 / $95.18	Facility		$13.13	$41.27	$95.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $13.72 / $31.73	Professional		$9.96	$13.72	$31.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $94.06 / $122.00	Facility		$94.00	$94.06	$122.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $18.79 / $27.90	Facility		$15.03	$18.79	$27.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $18.79 / $24.49	Professional		$16.91	$18.79	$24.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $52.12 / $206.04	Facility		$40.29	$52.12	$206.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $18.79 / $47.04	Facility		$15.03	$18.79	$47.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $14.45 / $26.93	Professional		$9.96	$14.45	$26.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $10.75 / $15.75	Professional		$7.89	$10.75	$15.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $9.27 / $18.79	Professional		$7.33	$9.27	$18.79