Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $53.35 / $170.87	Facility		$14.63	$53.35	$170.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.45 / $29.65	Professional		$10.84	$16.45	$29.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $11.61 / $13.44	Professional		$9.28	$11.61	$13.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $63.86 / $114.75	Facility		$24.19	$63.86	$114.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.26 / $17.22	Professional		$5.00	$10.26	$17.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $30.96 / $114.51	Facility		$19.35	$30.96	$114.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $19.35	Facility		$19.35	$19.35	$19.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $42.52 / $97.85	Facility		$13.52	$42.52	$97.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $14.08 / $32.82	Professional		$10.26	$14.08	$32.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $157.00 / $157.00	Facility		$94.00	$157.00	$157.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $19.35 / $25.16	Facility		$15.48	$19.35	$25.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $19.35 / $25.21	Professional		$18.34	$19.35	$25.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $159.88 / $206.88 / $751.27	Facility		$159.88	$206.88	$751.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $19.35 / $53.44	Facility		$15.48	$19.35	$53.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $14.90 / $27.95	Professional		$10.26	$14.90	$27.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.09 / $16.01	Professional		$8.13	$11.09	$16.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $9.56 / $19.35	Professional		$7.55	$9.56	$19.35