Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $57.67 / $138.15	Facility		$12.21	$57.67	$138.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $13.90 / $18.57	Professional		$9.96	$13.90	$18.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.64 / $16.05	Professional		$5.62	$9.64	$16.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $53.00 / $96.20	Facility		$20.07	$53.00	$96.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.51 / $14.29	Professional		$5.00	$8.51	$14.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $24.89 / $104.83	Facility		$15.26	$24.89	$104.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $16.05 / $24.09	Professional		$12.05	$16.05	$24.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $15.90 / $16.05	Facility		$15.90	$15.90	$16.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $35.29 / $80.65	Facility		$11.22	$35.29	$80.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.35 / $27.35	Professional		$8.51	$12.35	$27.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $124.96 / $124.96	Facility		$98.27	$124.96	$124.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.62 / $26.84	Professional		$14.45	$23.62	$26.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $16.05 / $23.86	Facility		$12.85	$16.05	$23.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.05 / $20.93	Professional		$14.45	$16.05	$20.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $140.19 / $191.04 / $651.66	Facility		$140.19	$191.04	$651.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $16.05 / $40.39	Facility		$12.85	$16.05	$40.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.49 / $23.22	Professional		$8.51	$12.49	$23.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.19 / $13.12	Professional		$6.75	$9.19	$13.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $7.93 / $16.05	Professional		$6.26	$7.93	$16.05