Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $93.33 / $263.03	Facility		$16.98	$93.33	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $33.88	Professional		$14.45	$19.50	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $19.05	Professional		$13.49	$13.49	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $70.79 / $131.83	Facility		$24.55	$70.79	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.30 / $16.98	Professional		$9.33	$12.30	$16.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $151.36	Facility		$19.95	$35.48	$151.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $41.69	Professional		$15.49	$23.44	$41.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $22.39	Facility		$21.88	$21.88	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $48.98 / $120.23	Facility		$21.88	$48.98	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $66.07	Professional		$15.85	$23.44	$66.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $60.26	Professional		$19.95	$37.15	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.39 / $154.88	Facility		$16.98	$22.39	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $38.02	Professional		$12.88	$19.95	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $32.36 / $33.11	Professional		$18.62	$32.36	$33.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $275.42 / $309.03	Facility		$97.72	$275.42	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.39 / $66.07	Facility		$19.05	$22.39	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.44 / $61.66	Professional		$17.38	$23.44	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.30 / $22.39	Facility		$7.76	$12.30	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $30.90	Professional		$9.33	$13.18	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $22.39	Professional		$8.71	$8.71	$22.39