Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $105.75 / $327.60	Facility		$29.43	$105.75	$327.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $14.39 / $27.46	Professional		$8.68	$14.39	$27.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $10.08 / $16.80	Professional		$4.54	$10.08	$16.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $52.25 / $95.66	Facility		$18.30	$52.25	$95.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.90 / $11.76	Professional		$5.00	$8.90	$11.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $26.88 / $117.79	Facility		$15.52	$26.88	$117.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $15.99 / $27.05	Professional		$11.76	$15.99	$27.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $16.63 / $16.80	Facility		$16.63	$16.63	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $36.99 / $84.63	Facility		$11.74	$36.99	$84.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $18.77 / $29.38	Professional		$9.57	$18.77	$29.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $80.19 / $100.00	Facility		$51.02	$80.19	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $21.47 / $29.90	Professional		$15.11	$21.47	$29.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $18.48 / $281.89	Facility		$14.28	$18.48	$281.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $16.80 / $31.08	Professional		$15.12	$16.80	$31.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $66.48 / $176.10	Facility		$48.57	$66.48	$176.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $16.80 / $46.39	Facility		$13.46	$16.80	$46.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $17.25 / $27.82	Professional		$10.26	$17.25	$27.82
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $9.61 / $13.72	Professional		$7.06	$9.61	$13.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $16.80	Professional		$8.30	$8.30	$16.80