Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $137.78 / $264.70	Facility		$24.50	$137.78	$264.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $24.64 / $38.00	Professional		$16.76	$24.64	$38.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $16.76 / $27.94	Professional		$7.54	$16.76	$27.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $87.17 / $156.74	Facility		$30.73	$87.17	$156.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.81 / $21.10	Professional		$5.00	$14.81	$21.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $43.31 / $207.10	Facility		$26.54	$43.31	$207.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $27.77 / $44.70	Professional		$20.96	$27.77	$44.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $27.94 / $27.94	Facility		$27.94	$27.94	$27.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $61.38 / $141.47	Facility		$19.52	$61.38	$141.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $23.42 / $72.42	Professional		$14.81	$23.42	$72.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $133.26 / $133.26	Facility		$71.87	$133.26	$133.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $40.61 / $46.14	Professional		$24.98	$40.61	$46.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $27.94 / $114.75	Facility		$22.35	$27.94	$114.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $27.94 / $51.69	Professional		$25.15	$27.94	$51.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $71.09 / $157.25	Facility		$51.96	$71.09	$157.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $27.94 / $69.63	Facility		$22.35	$27.94	$69.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $23.42 / $40.36	Professional		$14.81	$23.42	$40.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.39 / $25.20	Professional		$11.73	$16.39	$25.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $13.80 / $27.94	Professional		$10.90	$13.80	$27.94