Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $54.29 / $226.29	Facility		$13.54	$54.29	$226.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $15.22 / $30.44	Professional		$10.02	$15.22	$30.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $10.74	Professional		$8.59	$8.59	$10.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $59.07 / $107.22	Facility		$22.38	$59.07	$107.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.49 / $15.63	Professional		$5.00	$9.49	$15.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $27.75 / $107.23	Facility		$17.89	$27.75	$107.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $17.71 / $27.95	Professional		$12.53	$17.71	$27.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Facility		$17.89	$17.89	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $39.34 / $89.89	Facility		$12.51	$39.34	$89.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $13.31 / $27.36	Professional		$9.49	$13.31	$27.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $141.00 / $141.00	Facility		$104.94	$141.00	$141.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $17.89 / $23.27	Facility		$14.32	$17.89	$23.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $17.89 / $20.87	Professional		$16.80	$17.89	$20.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $406.36 / $525.76 / $2,092.19	Facility		$406.36	$525.76	$2,092.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $17.89 / $49.45	Facility		$14.32	$17.89	$49.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $13.92 / $23.23	Professional		$9.49	$13.92	$23.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.26 / $14.62	Professional		$7.52	$10.26	$14.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $8.84 / $17.89	Professional		$6.98	$8.84	$17.89