Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $120.71 / $257.36	Facility		$20.65	$120.71	$257.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $24.20 / $44.41	Professional		$16.85	$24.20	$44.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $16.30 / $18.87	Professional		$9.51	$16.30	$18.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $89.66 / $158.96	Facility		$33.69	$89.66	$158.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.40 / $24.18	Professional		$5.00	$14.40	$24.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $42.11 / $152.49	Facility		$25.81	$42.11	$152.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $27.08 / $40.76	Professional		$20.38	$27.08	$40.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $27.17 / $27.17	Facility		$27.17	$27.17	$27.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $59.69 / $137.50	Facility		$18.98	$59.69	$137.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.86 / $45.95	Professional		$14.40	$19.86	$45.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $129.72 / $129.72	Facility		$87.88	$129.72	$129.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $39.67 / $45.08	Professional		$24.40	$39.67	$45.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.74 / $27.17 / $40.56	Facility		$21.74	$27.17	$40.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $27.17 / $49.18	Professional		$24.45	$27.17	$49.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $286.77 / $392.47 / $1,039.66	Facility		$286.77	$392.47	$1,039.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.74 / $27.17 / $67.70	Facility		$21.74	$27.17	$67.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.92 / $39.25	Professional		$14.40	$20.92	$39.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $15.54 / $22.18	Professional		$11.41	$15.54	$22.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $13.42 / $27.17	Professional		$10.60	$13.42	$27.17