Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $101.41 / $230.10	Facility		$20.81	$101.41	$230.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $18.14 / $24.97	Professional		$12.90	$18.14	$24.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $12.49 / $14.46	Professional		$9.36	$12.49	$14.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $66.62 / $121.34	Facility		$24.35	$66.62	$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 / $32.26 / $135.81	Facility		$20.81	$32.26	$135.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $21.48 / $35.38	Professional		$15.61	$21.48	$35.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $21.02 / $21.02	Facility		$20.81	$21.02	$21.02
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 / $15.16 / $35.01	Professional		$11.03	$15.16	$35.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $99.06 / $109.00	Facility		$75.00	$99.06	$109.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $30.23 / $34.34	Professional		$18.57	$30.23	$34.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.81 / $31.98	Facility		$16.64	$20.81	$31.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $20.81 / $33.75	Professional		$18.73	$20.81	$33.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $67.29 / $103.33 / $826.03	Facility		$67.29	$103.33	$826.03
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 / $30.07	Professional		$11.03	$16.02	$30.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.99 / $16.98	Professional		$8.74	$11.99	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.28 / $20.81	Professional		$8.11	$10.28	$20.81