Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $93.33 / $346.74	Facility		$15.85	$93.33	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $38.02	Professional		$12.88	$18.62	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $14.45	Professional		$10.00	$12.59	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $66.07 / $123.03	Facility		$22.91	$66.07	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.48 / $20.89	Professional		$5.01	$11.48	$20.89
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $32.36 / $151.36	Facility		$18.62	$32.36	$151.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.38 / $33.11	Professional		$14.45	$21.38	$33.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.84 / $28.84	Facility		$20.89	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $42.66 / $104.71	Facility		$18.62	$42.66	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $34.67	Professional		$10.96	$15.14	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.89 / $151.36	Facility		$15.85	$20.89	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $36.31	Professional		$12.02	$19.05	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $17.38	Professional		$15.49	$17.38	$17.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $173.78 / $194.98	Facility		$63.10	$173.78	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $60.26	Facility		$16.60	$20.89	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $34.67	Professional		$11.75	$15.85	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $12.59 / $20.89	Facility		$7.41	$12.59	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $17.78	Professional		$8.71	$12.30	$17.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13