Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $73.17 / $148.59	Facility		$18.23	$73.17	$148.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.07 / $32.15	Professional		$13.50	$16.07	$32.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $13.84 / $15.07	Professional		$11.57	$13.84	$15.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $75.22 / $130.68	Facility		$27.00	$75.22	$130.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.78 / $21.70	Professional		$5.00	$12.78	$21.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $34.96 / $139.19	Facility		$22.28	$34.96	$139.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $23.96 / $36.17	Professional		$16.88	$23.96	$36.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $24.11 / $24.11	Facility		$24.11	$24.11	$24.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $41.70 / $102.47	Facility		$16.38	$41.70	$102.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $13.51 / $36.65	Professional		$11.57	$13.51	$36.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.07 / $114.52 / $188.00	Facility		$59.07	$114.52	$188.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $24.11 / $28.93	Facility		$17.55	$24.11	$28.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $24.11 / $24.11	Professional		$21.70	$24.11	$24.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $879.00 / $1,418.00	Facility		$665.00	$879.00	$1,418.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $24.11 / $55.61	Facility		$17.55	$24.11	$55.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $15.14 / $26.08	Professional		$11.57	$15.14	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.60 / $15.34	Professional		$10.13	$10.60	$15.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.64 / $24.11	Professional		$9.40	$9.64	$24.11