Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $99.21 / $508.90	Facility		$17.43	$99.21	$508.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $20.45 / $40.00	Professional		$13.76	$20.45	$40.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.76 / $22.94	Professional		$8.02	$13.76	$22.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $72.03 / $135.35	Facility		$23.17	$72.03	$135.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.16 / $18.35	Professional		$5.00	$12.16	$18.35
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $36.70 / $51.62	Facility		$25.23	$36.70	$51.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $22.91 / $32.11	Professional		$16.05	$22.91	$32.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $27.53 / $27.53	Facility		$22.94	$27.53	$27.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $50.40 / $105.14	Facility		$16.03	$50.40	$105.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $16.79 / $38.84	Professional		$12.16	$16.79	$38.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.83 / $156.18 / $156.18	Facility		$122.83	$156.18	$156.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $22.94 / $29.82	Facility		$17.21	$22.94	$29.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $22.94 / $29.90	Professional		$20.65	$22.94	$29.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $134.68 / $184.31 / $1,165.24	Facility		$134.68	$184.31	$1,165.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $22.94 / $52.88	Facility		$17.43	$22.94	$52.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $17.66 / $33.15	Professional		$12.16	$17.66	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.13 / $15.37	Professional		$9.63	$13.13	$15.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.33 / $22.94	Professional		$8.94	$11.33	$22.94