Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $118.70 / $396.59	Facility		$17.43	$118.70	$396.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $20.45 / $37.51	Professional		$13.76	$20.45	$37.51
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 $22.94 / $36.15 / $129.05	Facility		$22.94	$36.15	$129.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $21.99 / $32.11	Professional		$16.05	$21.99	$32.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $32.11 / $32.11	Facility		$22.94	$32.11	$32.11
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 $169.07 / $214.96 / $214.96	Facility		$169.07	$214.96	$214.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $22.94 / $31.44	Facility		$17.21	$22.94	$31.44
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 $173.97 / $238.08 / $2,805.72	Facility		$173.97	$238.08	$2,805.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $22.94 / $63.34	Facility		$17.43	$22.94	$63.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $17.64 / $32.86	Professional		$12.16	$17.64	$32.86
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