Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $62.26 / $755.33	Facility		$13.06	$62.26	$755.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $23.08 / $39.72	Professional		$10.71	$23.08	$39.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $10.36 / $10.80	Professional		$6.05	$10.36	$10.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $51.35 / $91.36	Facility		$18.64	$51.35	$91.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.15 / $17.27	Professional		$5.00	$9.15	$17.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $25.91 / $57.20	Facility		$17.27	$25.91	$57.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $15.54 / $29.36	Professional		$12.09	$15.54	$29.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.85 / $33.85 / $33.85	Facility		$33.85	$33.85	$33.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $25.27 / $77.01	Facility		$11.13	$25.27	$77.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.77 / $32.67	Professional		$7.08	$9.77	$32.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $82.03 / $82.03	Facility		$27.63	$82.03	$82.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $17.27 / $19.00	Facility		$12.58	$17.27	$19.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $17.27 / $23.48	Professional		$14.68	$17.27	$23.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.90 / $169.56 / $376.34	Facility		$123.90	$169.56	$376.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $17.27 / $24.01	Facility		$12.07	$17.27	$24.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $16.41 / $18.22	Professional		$8.88	$16.41	$18.22
United Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $17.27 / $20.72	Facility		$7.25	$17.27	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $10.36	Professional		$7.25	$7.25	$10.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $6.91 / $17.27	Professional		$6.74	$6.91	$17.27