Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $83.03 / $207.28	Facility		$12.07	$83.03	$207.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $11.21 / $14.47	Professional		$7.55	$11.21	$14.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $7.55 / $8.73	Professional		$4.40	$7.55	$8.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.97 / $40.26 / $75.34	Facility		$14.97	$40.26	$75.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.67 / $8.43	Professional		$5.00	$6.67	$8.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $20.13 / $82.10	Facility		$12.58	$20.13	$82.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $12.00 / $21.39	Professional		$8.81	$12.00	$21.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Facility		$12.58	$12.58	$12.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $27.65 / $63.45	Facility		$8.78	$27.65	$63.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $9.21 / $21.34	Professional		$6.67	$9.21	$21.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $72.00 / $100.00	Facility		$53.00	$72.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $12.58 / $18.69	Facility		$10.06	$12.58	$18.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $12.58 / $16.39	Professional		$11.32	$12.58	$16.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $207.18 / $268.29 / $595.04	Facility		$207.18	$268.29	$595.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $12.58 / $31.63	Facility		$10.06	$12.58	$31.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $9.67 / $18.02	Professional		$6.67	$9.67	$18.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.21 / $10.69	Professional		$5.28	$7.21	$10.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $6.21 / $12.58	Professional		$4.91	$6.21	$12.58