Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $114.99 / $182.18	Facility		$21.24	$114.99	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $25.03 / $28.10	Professional		$16.85	$25.03	$28.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.86 / $19.51	Professional		$13.49	$16.86	$19.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $89.92 / $164.43	Facility		$33.44	$89.92	$164.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.89 / $26.98	Professional		$5.00	$14.89	$26.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $43.56 / $168.26	Facility		$25.96	$43.56	$168.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $26.99 / $42.15	Professional		$21.08	$26.99	$42.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $27.96 / $28.10	Facility		$27.96	$27.96	$28.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $61.75 / $141.47	Facility		$19.64	$61.75	$141.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $20.58 / $47.60	Professional		$14.89	$20.58	$47.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $134.46 / $137.00	Facility		$108.00	$134.46	$137.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $41.09 / $46.69	Professional		$25.26	$41.09	$46.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $28.10 / $42.05	Facility		$22.48	$28.10	$42.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $28.10 / $38.97	Professional		$25.29	$28.10	$38.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $377.89 / $536.84 / $698.12	Facility		$377.89	$536.84	$698.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $28.10 / $70.56	Facility		$22.48	$28.10	$70.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $21.64 / $40.60	Professional		$14.89	$21.64	$40.60
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.48 / $24.14	Professional		$11.80	$16.48	$24.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.88 / $28.10	Professional		$10.96	$13.88	$28.10