Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $51.69 / $126.87	Facility		$11.72	$51.69	$126.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $13.18 / $17.05	Professional		$9.30	$13.18	$17.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $9.30	Professional		$7.44	$7.44	$9.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $51.30 / $92.84	Facility		$19.38	$51.30	$92.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.21 / $13.79	Professional		$5.00	$8.21	$13.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $71.23 / $108.62	Facility		$71.23	$71.23	$108.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $15.50 / $15.50	Facility		$15.50	$15.50	$15.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.83 / $34.07 / $78.02	Facility		$10.83	$34.07	$78.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.37 / $26.26	Professional		$8.22	$11.37	$26.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $74.31 / $100.00	Facility		$72.00	$74.31	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $15.50 / $20.22	Facility		$12.40	$15.50	$20.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $15.50 / $20.20	Professional		$13.95	$15.50	$20.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $66.25 / $177.29	Facility		$51.21	$66.25	$177.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $15.50 / $38.93	Facility		$12.40	$15.50	$38.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.94 / $22.20	Professional		$8.22	$11.94	$22.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $8.86 / $12.65	Professional		$6.51	$8.86	$12.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $7.65 / $15.50	Professional		$6.05	$7.65	$15.50