Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $242.66 / $578.52	Facility		$24.43	$242.66	$578.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $64.92 / $88.72	Professional		$18.82	$64.92	$88.72
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 $25.45 / $78.55 / $142.33	Facility		$25.45	$78.55	$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 $25.45 / $39.45 / $51.22	Facility		$25.45	$39.45	$51.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $24.65 / $38.18	Professional		$19.09	$24.65	$38.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $35.63 / $35.63	Facility		$25.45	$35.63	$35.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $55.91 / $113.22	Facility		$17.78	$55.91	$113.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.95 / $38.72	Professional		$13.49	$18.95	$38.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.74 / $140.25 / $140.25	Facility		$102.74	$140.25	$140.25
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 $19.09 / $25.45 / $39.01	Facility		$19.09	$25.45	$39.01
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 $123.57 / $169.09 / $1,094.66	Facility		$123.57	$169.09	$1,094.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $25.45 / $60.36	Facility		$19.34	$25.45	$60.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.80 / $36.76	Professional		$13.49	$19.80	$36.76
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.46 / $19.20	Facility		$8.91	$17.46	$19.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.56 / $20.77	Professional		$10.69	$14.56	$20.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $12.57 / $25.45	Professional		$9.93	$12.57	$25.45