Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $46.56 / $130.18	Facility		$18.86	$46.56	$130.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $21.71 / $24.95	Professional		$14.97	$21.71	$24.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $14.97 / $17.32	Professional		$11.98	$14.97	$17.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $81.03 / $138.72	Facility		$30.94	$81.03	$138.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.22 / $21.79	Professional		$5.00	$13.22	$21.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $38.67 / $140.09	Facility		$24.95	$38.67	$140.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $23.99 / $37.43	Professional		$18.71	$23.99	$37.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $22.36 / $24.95	Facility		$22.36	$22.36	$24.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $54.82 / $125.59	Facility		$17.43	$54.82	$125.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $19.19 / $42.12	Professional		$13.22	$19.19	$42.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.02 / $141.15 / $141.15	Facility		$111.02	$141.15	$141.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $36.36 / $41.31	Professional		$22.36	$36.36	$41.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $24.95 / $36.97	Facility		$19.96	$24.95	$36.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $24.95 / $34.63	Professional		$22.46	$24.95	$34.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $152.35 / $390.36	Facility		$82.48	$152.35	$390.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $24.95 / $62.45	Facility		$19.98	$24.95	$62.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.93 / $35.75	Professional		$13.22	$20.93	$35.75
United Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $10.48 / $24.95	Facility		$8.98	$10.48	$24.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $14.38 / $20.38	Professional		$10.48	$14.38	$20.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $24.95	Professional		$12.32	$12.32	$24.95