Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $96.35 / $181.80	Facility		$21.37	$96.35	$181.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $16.04 / $22.07	Professional		$9.94	$16.04	$22.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $11.03 / $25.75	Professional		$6.44	$11.03	$25.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $57.74 / $106.11	Facility		$20.23	$57.74	$106.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.75 / $13.38	Professional		$5.00	$9.75	$13.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $27.59 / $128.91	Facility		$17.00	$27.59	$128.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $19.30 / $31.27	Professional		$13.79	$19.30	$31.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $18.21 / $18.39	Facility		$18.21	$18.21	$18.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $40.39 / $92.55	Facility		$12.85	$40.39	$92.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $15.42 / $32.20	Professional		$10.49	$15.42	$32.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.05 / $87.35 / $87.35	Facility		$55.05	$87.35	$87.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $23.81 / $32.79	Professional		$16.39	$23.81	$32.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $18.39 / $132.30	Facility		$14.71	$18.39	$132.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $18.39 / $33.36	Professional		$15.63	$18.39	$33.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $74.66 / $358.07	Facility		$54.56	$74.66	$358.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $18.39 / $46.23	Facility		$14.71	$18.39	$46.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $18.09 / $30.48	Professional		$10.49	$18.09	$30.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.79 / $18.23	Professional		$7.72	$10.79	$18.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $9.08 / $18.39	Professional		$7.17	$9.08	$18.39