Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $84.63 / $323.08	Facility		$14.47	$84.63	$323.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $16.37 / $33.15	Professional		$10.66	$16.37	$33.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $11.42	Professional		$9.14	$9.14	$11.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $62.83 / $114.62	Facility		$23.61	$62.83	$114.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.09 / $16.95	Professional		$5.00	$10.09	$16.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $29.51 / $124.61	Facility		$17.59	$29.51	$124.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $19.04 / $28.58	Professional		$13.33	$19.04	$28.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $19.04 / $19.04	Facility		$19.04	$19.04	$19.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $41.84 / $96.53	Facility		$13.30	$41.84	$96.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $14.11 / $28.91	Professional		$10.09	$14.11	$28.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $148.22 / $148.22	Facility		$116.57	$148.22	$148.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $19.04 / $26.29	Facility		$15.23	$19.04	$26.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $19.04 / $20.94	Professional		$18.03	$19.04	$20.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $178.17 / $230.50 / $1,418.76	Facility		$178.17	$230.50	$1,418.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $19.04 / $52.59	Facility		$15.23	$19.04	$52.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $14.81 / $23.14	Professional		$10.09	$14.81	$23.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.89 / $15.75	Professional		$8.00	$10.89	$15.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $9.40 / $19.04	Professional		$7.43	$9.40	$19.04