Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $93.87 / $191.52	Facility		$16.39	$93.87	$191.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $19.30 / $19.92	Professional		$13.24	$19.30	$19.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $13.02 / $15.07	Professional		$10.42	$13.02	$15.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $65.34 / $121.74	Facility		$21.70	$65.34	$121.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.50 / $19.53	Professional		$5.00	$11.50	$19.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $33.64 / $76.72	Facility		$20.62	$33.64	$76.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $21.53 / $30.38	Professional		$15.19	$21.53	$30.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $22.78 / $22.78	Facility		$21.70	$22.78	$22.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $47.69 / $102.04	Facility		$15.16	$47.69	$102.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $15.89 / $36.65	Professional		$11.50	$15.89	$36.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $122.00 / $122.00	Facility		$76.06	$122.00	$122.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $31.64 / $35.95	Professional		$19.46	$31.64	$35.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $21.70 / $32.21	Facility		$16.28	$21.70	$32.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $21.70 / $28.27	Professional		$19.53	$21.70	$28.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $157.16 / $223.28 / $290.35	Facility		$157.16	$223.28	$290.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $21.70 / $51.51	Facility		$16.92	$21.70	$51.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $16.68 / $31.08	Professional		$11.50	$16.68	$31.08
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.42 / $17.72	Professional		$9.11	$12.42	$17.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.71 / $21.70	Professional		$8.46	$10.71	$21.70