Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $46.98 / $91.70	Facility		$12.67	$46.98	$91.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $13.44 / $19.27	Professional		$9.39	$13.44	$19.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $10.06 / $10.48	Professional		$8.03	$10.06	$10.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $53.80 / $92.35	Facility		$20.60	$53.80	$92.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.88 / $14.92	Professional		$5.00	$8.88	$14.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $24.30 / $34.58	Facility		$16.76	$24.30	$34.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $16.66 / $25.14	Professional		$12.57	$16.66	$25.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.59 / $16.76	Facility		$16.59	$16.59	$16.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $33.52 / $76.67	Facility		$11.71	$33.52	$76.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $15.47 / $25.71	Professional		$8.88	$15.47	$25.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $79.61 / $100.00	Facility		$50.00	$79.61	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $16.76 / $22.27	Facility		$12.74	$16.76	$22.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $16.76 / $19.64	Professional		$15.08	$16.76	$19.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $122.27 / $153.81 / $198.98	Facility		$122.27	$153.81	$198.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $16.76 / $38.46	Facility		$12.74	$16.76	$38.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $16.73 / $21.59	Professional		$8.88	$16.73	$21.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $12.32 / $18.98	Professional		$10.06	$12.32	$18.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $16.76	Professional		$7.44	$7.44	$16.76