Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $92.49 / $169.00	Facility		$15.82	$92.49	$169.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $18.01 / $24.97	Professional		$12.49	$18.01	$24.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $12.49 / $14.46	Professional		$9.99	$12.49	$14.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $66.81 / $121.34	Facility		$24.76	$66.81	$121.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.03 / $20.39	Professional		$5.00	$11.03	$20.39
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $33.29 / $127.63	Facility		$20.81	$33.29	$127.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $20.83 / $31.22	Professional		$15.61	$20.83	$31.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $25.49 / $25.49	Facility		$20.81	$25.49	$25.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $45.46 / $94.97	Facility		$14.54	$45.46	$94.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.52 / $31.49	Professional		$11.03	$15.52	$31.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $99.06 / $99.06	Facility		$62.18	$99.06	$99.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.81 / $36.42	Facility		$16.64	$20.81	$36.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $20.81 / $27.12	Professional		$18.73	$20.81	$27.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $86.04 / $1,117.33	Facility		$62.88	$86.04	$1,117.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.81 / $51.87	Facility		$16.64	$20.81	$51.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $16.02 / $29.81	Professional		$11.03	$16.02	$29.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.91 / $16.98	Professional		$8.74	$11.91	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.28 / $20.81	Professional		$8.11	$10.28	$20.81