Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $92.75 / $259.22	Facility		$13.62	$92.75	$259.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $15.18 / $21.50	Professional		$11.11	$15.18	$21.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $10.75 / $12.93	Professional		$8.60	$10.75	$12.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $56.99 / $101.61	Facility		$20.83	$56.99	$101.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.50 / $16.13	Professional		$5.00	$9.50	$16.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $28.67 / $103.43	Facility		$17.92	$28.67	$103.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $17.71 / $26.88	Professional		$12.54	$17.71	$26.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $17.73 / $17.92	Facility		$17.73	$17.73	$17.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $37.24 / $80.01	Facility		$12.53	$37.24	$80.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $12.50 / $27.36	Professional		$9.50	$12.50	$27.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $110.92 / $110.92	Facility		$88.30	$110.92	$110.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $24.98 / $29.51	Professional		$15.97	$24.98	$29.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $17.92 / $29.56	Facility		$14.00	$17.92	$29.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $17.92 / $28.17	Professional		$16.80	$17.92	$28.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $292.92 / $400.86 / $1,834.13	Facility		$292.92	$400.86	$1,834.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $17.92 / $42.66	Facility		$14.00	$17.92	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $13.80 / $24.37	Professional		$9.50	$13.80	$24.37
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $9.90 / $17.92	Professional		$7.53	$9.90	$17.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $8.33 / $17.92	Professional		$6.99	$8.33	$17.92