Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $81.43 / $258.83	Facility		$21.80	$81.43	$258.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $49.63 / $69.23	Professional		$16.80	$49.63	$69.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $15.27 / $25.45	Professional		$12.22	$15.27	$25.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $78.39 / $142.33	Facility		$25.70	$78.39	$142.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.49 / $15.78	Professional		$5.00	$13.49	$15.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $38.18 / $200.66	Facility		$23.52	$38.18	$200.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $24.33 / $38.18	Professional		$17.82	$24.33	$38.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $26.72 / $26.72	Facility		$25.45	$26.72	$26.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $55.57 / $113.22	Facility		$17.78	$55.57	$113.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.59 / $42.67	Professional		$13.49	$18.59	$42.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $121.47 / $121.47	Facility		$61.03	$121.47	$121.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.31 / $42.39	Professional		$22.91	$37.31	$42.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $25.45 / $37.78	Facility		$17.82	$25.45	$37.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.45 / $33.15	Professional		$22.91	$25.45	$33.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $406.87 / $556.84 / $3,287.91	Facility		$406.87	$556.84	$3,287.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $25.45 / $60.36	Facility		$19.09	$25.45	$60.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.55 / $36.45	Professional		$13.49	$19.55	$36.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.58 / $21.06	Professional		$10.69	$14.58	$21.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $12.57 / $25.45	Professional		$9.93	$12.57	$25.45