Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $86.22 / $204.12	Facility		$16.16	$86.22	$204.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $18.98 / $21.26	Professional		$13.82	$18.98	$21.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.77 / $21.26	Professional		$10.19	$14.77	$21.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.87 / $67.81 / $123.95	Facility		$24.87	$67.81	$123.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.27 / $21.05	Professional		$5.00	$11.27	$21.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $34.02 / $130.38	Facility		$21.26	$34.02	$130.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $20.32 / $34.02	Professional		$14.88	$20.32	$34.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $21.26	Facility		$21.16	$21.16	$21.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $46.71 / $107.08	Facility		$14.85	$46.71	$107.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $15.52 / $36.11	Professional		$11.27	$15.52	$36.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $127.50 / $183.00	Facility		$108.00	$127.50	$183.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $31.18 / $35.42	Professional		$19.13	$31.18	$35.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $21.26 / $31.81	Facility		$17.01	$21.26	$31.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $21.26 / $27.71	Professional		$19.13	$21.26	$27.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $151.02 / $195.38	Facility		$105.76	$151.02	$195.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $21.26 / $53.46	Facility		$17.01	$21.26	$53.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $16.37 / $30.45	Professional		$11.27	$16.37	$30.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.16 / $17.36	Professional		$8.93	$12.16	$17.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $10.50 / $21.26	Professional		$8.28	$10.50	$21.26