Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $123.58 / $304.14	Facility		$22.10	$123.58	$304.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $16.89 / $38.76	Professional		$12.21	$16.89	$38.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $11.63 / $19.38	Professional		$5.23	$11.63	$19.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $59.80 / $110.27	Facility		$23.26	$59.80	$110.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.66 / $13.57	Professional		$5.00	$10.66	$13.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $29.07 / $210.65	Facility		$17.91	$29.07	$210.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $18.66 / $31.01	Professional		$14.54	$18.66	$31.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $42.59 / $97.85	Facility		$13.55	$42.59	$97.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $14.08 / $40.40	Professional		$10.27	$14.08	$40.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $92.06 / $100.00	Facility		$72.00	$92.06	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $28.33 / $32.20	Professional		$17.42	$28.33	$32.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $19.38 / $49.40	Facility		$15.50	$19.38	$49.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $19.38 / $35.08	Professional		$17.44	$19.38	$35.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $156.63 / $214.77 / $650.79	Facility		$156.63	$214.77	$650.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $19.38 / $48.74	Facility		$15.50	$19.38	$48.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $14.90 / $27.76	Professional		$10.27	$14.90	$27.76
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $11.09 / $15.82	Professional		$8.14	$11.09	$15.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $9.57 / $19.38	Professional		$7.56	$9.57	$19.38