Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $58.05 / $338.10	Facility		$10.34	$58.05	$338.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $11.85 / $19.04	Professional		$8.16	$11.85	$19.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $6.53 / $9.44	Professional		$6.53	$6.53	$9.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $43.52 / $79.27	Facility		$15.91	$43.52	$79.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.21 / $13.33	Professional		$5.00	$7.21	$13.33
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $21.76 / $83.38	Facility		$13.60	$21.76	$83.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.60 / $20.39	Professional		$10.19	$13.60	$20.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $14.28 / $14.28	Facility		$13.60	$14.28	$14.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $29.88 / $68.75	Facility		$9.51	$29.88	$68.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $10.08 / $20.65	Professional		$7.21	$10.08	$20.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $72.80 / $72.80	Facility		$57.26	$72.80	$72.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $13.60 / $20.90	Facility		$10.88	$13.60	$20.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $13.60 / $17.72	Professional		$12.24	$13.60	$17.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $201.53 / $1,105.56	Facility		$155.63	$201.53	$1,105.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $13.60 / $33.88	Facility		$10.88	$13.60	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $10.58 / $19.64	Professional		$7.21	$10.58	$19.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $7.78 / $11.10	Professional		$5.71	$7.78	$11.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.72 / $13.60	Professional		$5.30	$6.72	$13.60