Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $85.60 / $267.44	Facility		$12.86	$85.60	$267.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $14.67 / $23.26	Professional		$9.49	$14.67	$23.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $10.16 / $16.94	Professional		$4.57	$10.16	$16.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $52.51 / $97.59	Facility		$18.30	$52.51	$97.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.98 / $12.06	Professional		$5.00	$8.98	$12.06
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $26.26 / $162.61	Facility		$15.65	$26.26	$162.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $17.01 / $27.27	Professional		$13.55	$17.01	$27.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Facility		$16.94	$16.94	$16.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $37.21 / $85.94	Facility		$11.83	$37.21	$85.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $14.20 / $29.38	Professional		$9.57	$14.20	$29.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $81.39 / $120.00	Facility		$76.00	$81.39	$120.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $24.56 / $27.90	Professional		$15.11	$24.56	$27.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $16.94 / $111.35	Facility		$13.55	$16.94	$111.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $16.94 / $30.66	Professional		$15.25	$16.94	$30.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $92.37 / $395.96	Facility		$67.50	$92.37	$395.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $16.94 / $42.61	Facility		$13.55	$16.94	$42.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $16.54 / $28.11	Professional		$8.98	$16.54	$28.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $9.69 / $13.83	Professional		$7.11	$9.69	$13.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.36 / $16.94	Professional		$6.61	$8.36	$16.94