Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $164.75 / $363.48	Facility		$17.14	$164.75	$363.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $13.79 / $27.58	Professional		$9.50	$13.79	$27.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $9.19 / $10.65	Professional		$7.35	$9.19	$10.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $50.84 / $91.77	Facility		$19.14	$50.84	$91.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.11 / $13.63	Professional		$5.00	$8.11	$13.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $22.98 / $119.07	Facility		$14.55	$22.98	$119.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $15.75 / $23.91	Professional		$11.49	$15.75	$23.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $21.45 / $21.45	Facility		$15.32	$21.45	$21.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $33.65 / $78.02	Facility		$10.70	$33.65	$78.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.29 / $23.24	Professional		$8.11	$11.29	$23.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.72 / $206.91 / $206.91	Facility		$162.72	$206.91	$206.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $15.32 / $21.21	Facility		$12.26	$15.32	$21.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $15.32 / $19.97	Professional		$13.79	$15.32	$19.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $86.97 / $488.30	Facility		$64.17	$86.97	$488.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $15.32 / $42.31	Facility		$12.26	$15.32	$42.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.92 / $21.96	Professional		$8.11	$11.92	$21.96
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $8.77 / $13.02	Professional		$6.43	$8.77	$13.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $7.57 / $15.32	Professional		$5.97	$7.57	$15.32