Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $60.27 / $177.75	Facility		$24.55	$60.27	$177.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $27.07 / $31.33	Professional		$19.38	$27.07	$31.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $15.50 / $19.38	Professional		$11.31	$15.50	$19.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $106.59 / $194.45	Facility		$40.04	$106.59	$194.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $17.12 / $28.75	Professional		$5.00	$17.12	$28.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $50.07 / $181.34	Facility		$32.29	$50.07	$181.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $30.99 / $48.45	Professional		$24.23	$30.99	$48.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $33.90 / $33.90	Facility		$32.29	$33.90	$33.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $70.98 / $162.62	Facility		$22.57	$70.98	$162.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $23.65 / $54.71	Professional		$17.12	$23.65	$54.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $154.50 / $275.00	Facility		$121.00	$154.50	$275.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $32.29 / $48.11	Facility		$24.55	$32.29	$48.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $32.29 / $42.09	Professional		$29.07	$32.29	$42.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $140.02 / $181.16 / $371.58	Facility		$140.02	$181.16	$371.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $32.29 / $81.11	Facility		$25.54	$32.29	$81.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $24.87 / $46.67	Professional		$17.12	$24.87	$46.67
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $18.95 / $32.29	Professional		$13.57	$18.95	$32.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $15.95 / $32.29	Professional		$12.60	$15.95	$32.29