Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $83.38 / $223.61	Facility		$16.07	$83.38	$223.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $10.46 / $13.30	Professional		$7.86	$10.46	$13.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $7.25 / $12.09	Professional		$4.23	$7.25	$12.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $38.81 / $70.72	Facility		$14.51	$38.81	$70.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.41 / $8.46	Professional		$5.00	$6.41	$8.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $18.14 / $166.04	Facility		$11.18	$18.14	$166.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $12.09 / $19.34	Professional		$9.07	$12.09	$19.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Facility		$12.09	$12.09	$12.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $26.57 / $60.83	Facility		$8.44	$26.57	$60.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $10.13 / $20.23	Professional		$6.81	$10.13	$20.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $17.47 / $19.85	Professional		$10.74	$17.47	$19.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $12.09 / $90.95	Facility		$9.68	$12.09	$90.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $12.09 / $21.88	Professional		$10.28	$12.09	$21.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $50.04 / $139.38	Facility		$36.56	$50.04	$139.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $12.09 / $30.14	Facility		$9.67	$12.09	$30.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $11.89 / $19.79	Professional		$6.41	$11.89	$19.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.96 / $10.00	Professional		$5.08	$6.96	$10.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $5.97 / $12.09	Professional		$4.72	$5.97	$12.09