Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $52.54 / $106.05	Facility		$10.92	$52.54	$106.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $11.47 / $14.45	Professional		$9.10	$11.47	$14.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $8.67 / $8.67	Professional		$6.94	$8.67	$8.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $46.82 / $81.64	Facility		$17.76	$46.82	$81.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.66 / $12.86	Professional		$5.00	$7.66	$12.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $21.68 / $41.15	Facility		$13.73	$21.68	$41.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $13.66 / $21.68	Professional		$10.11	$13.66	$21.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $28.74 / $64.91	Facility		$10.10	$28.74	$64.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $9.48 / $22.20	Professional		$7.66	$9.48	$22.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $68.64 / $100.00	Facility		$52.00	$68.64	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $14.45 / $19.00	Facility		$10.98	$14.45	$19.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $14.45 / $16.78	Professional		$13.01	$14.45	$16.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $109.36 / $227.36	Facility		$84.53	$109.36	$227.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $14.45 / $34.61	Facility		$10.98	$14.45	$34.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $9.90 / $18.44	Professional		$7.66	$9.90	$18.44
United Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $6.07 / $14.45	Facility		$5.20	$6.07	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.56 / $11.55	Professional		$6.07	$7.56	$11.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $6.36 / $14.45	Professional		$5.64	$6.36	$14.45