Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $53.55 / $232.20	Facility		$17.34	$53.55	$232.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $19.51 / $27.53	Professional		$13.76	$19.51	$27.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $11.01 / $13.76	Professional		$11.01	$11.01	$13.76
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 $21.79 / $34.40 / $148.11	Facility		$21.79	$34.40	$148.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $21.99 / $34.40	Professional		$16.05	$21.99	$34.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $22.94 / $22.94	Facility		$9.42	$22.94	$22.94
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 $152.05 / $194.65 / $194.65	Facility		$152.05	$194.65	$194.65
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 $155.33 / $200.96 / $348.47	Facility		$155.33	$200.96	$348.47
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 / $33.15	Professional		$12.16	$17.64	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.15 / $18.73	Professional		$9.63	$13.15	$18.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.33 / $22.94	Professional		$8.94	$11.33	$22.94