Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $135.46 / $836.61	Facility		$21.81	$135.46	$836.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $73.20 / $156.30	Professional		$15.25	$73.20	$156.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.76 / $17.93	Professional		$8.61	$10.76	$17.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $55.94 / $100.59	Facility		$19.72	$55.94	$100.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.86 / $14.34	Professional		$5.00	$9.86	$14.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $28.69 / $458.06	Facility		$16.57	$28.69	$458.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $17.93 / $28.69	Professional		$14.34	$17.93	$28.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $18.82 / $18.82	Facility		$17.93	$18.82	$18.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $39.38 / $91.24	Facility		$12.53	$39.38	$91.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $13.31 / $27.36	Professional		$9.50	$13.31	$27.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.96 / $119.48 / $119.48	Facility		$93.96	$119.48	$119.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $25.98 / $29.51	Professional		$15.97	$25.98	$29.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $17.93 / $40.00	Facility		$14.34	$17.93	$40.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $17.93 / $20.87	Professional		$15.24	$17.93	$20.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $183.44 / $250.64 / $506.53	Facility		$183.44	$250.64	$506.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $17.93 / $44.61	Facility		$14.34	$17.93	$44.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $13.81 / $23.23	Professional		$9.50	$13.81	$23.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.27 / $14.65	Professional		$7.53	$10.27	$14.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $8.86 / $17.93	Professional		$6.99	$8.86	$17.93