Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $80.79 / $171.88	Facility		$22.28	$80.79	$171.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $15.22 / $27.57	Professional		$12.73	$15.22	$27.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $12.73 / $13.26	Professional		$10.18	$12.73	$13.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $60.62 / $118.78	Facility		$22.91	$60.62	$118.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.24 / $21.21	Professional		$5.00	$11.24	$21.21
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $33.94 / $107.38	Facility		$21.21	$33.94	$107.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $20.32 / $29.69	Professional		$14.85	$20.32	$29.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $20.79 / $21.21	Facility		$20.79	$20.79	$21.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $37.79 / $90.90	Facility		$14.41	$37.79	$90.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $12.30 / $32.53	Professional		$10.62	$12.30	$32.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $142.00 / $147.00	Facility		$92.31	$142.00	$147.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $24.57 / $35.42	Professional		$19.09	$24.57	$35.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $21.21 / $26.08	Facility		$15.45	$21.21	$26.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $21.21 / $22.84	Professional		$19.09	$21.21	$22.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $196.37 / $213.40 / $531.87	Facility		$196.37	$213.40	$531.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $21.21 / $48.85	Facility		$15.45	$21.21	$48.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $13.80 / $23.78	Professional		$10.62	$13.80	$23.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.66 / $17.25	Professional		$8.91	$9.66	$17.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.48 / $21.21	Professional		$8.27	$8.48	$21.21