Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $90.56 / $175.44	Facility		$20.39	$90.56	$175.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $12.78 / $17.64	Professional		$8.22	$12.78	$17.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $8.82 / $14.70	Professional		$5.15	$8.82	$14.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $45.86 / $84.82	Facility		$16.17	$45.86	$84.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.79 / $10.00	Professional		$5.00	$7.79	$10.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $23.52 / $103.06	Facility		$13.59	$23.52	$103.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.44 / $24.99	Professional		$11.03	$15.44	$24.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $14.55 / $14.70	Facility		$14.55	$14.55	$14.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $32.31 / $74.04	Facility		$10.27	$32.31	$74.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $10.65 / $30.69	Professional		$7.79	$10.65	$30.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $70.77 / $100.00	Facility		$50.00	$70.77	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $18.57 / $25.73	Professional		$13.07	$18.57	$25.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $14.70 / $113.89	Facility		$11.76	$14.70	$113.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $14.70 / $26.66	Professional		$12.50	$14.70	$26.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $146.03 / $199.85 / $1,200.55	Facility		$146.03	$199.85	$1,200.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $14.70 / $36.50	Facility		$11.76	$14.70	$36.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.31 / $21.24	Professional		$7.79	$11.31	$21.24
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.41 / $12.49	Professional		$6.17	$8.41	$12.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $7.26 / $14.70	Professional		$5.73	$7.26	$14.70