Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $54.39 / $107.41	Facility		$11.46	$54.39	$107.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $12.82 / $15.08	Professional		$9.05	$12.82	$15.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.05 / $10.47	Professional		$7.24	$9.05	$10.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $49.76 / $90.18	Facility		$18.70	$49.76	$90.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.99 / $13.42	Professional		$5.00	$7.99	$13.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $23.37 / $84.61	Facility		$15.08	$23.37	$84.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $15.08 / $24.13	Professional		$10.56	$15.08	$24.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $14.78 / $15.08	Facility		$14.78	$14.78	$15.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $33.11 / $76.67	Facility		$10.54	$33.11	$76.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $11.01 / $25.17	Professional		$7.99	$11.01	$25.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.13 / $86.00 / $100.00	Facility		$56.13	$86.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $15.08 / $19.60	Facility		$12.06	$15.08	$19.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $15.08 / $19.64	Professional		$13.57	$15.08	$19.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $46.53 / $149.85	Facility		$34.00	$46.53	$149.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $15.08 / $37.90	Facility		$12.06	$15.08	$37.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $11.59 / $21.59	Professional		$7.99	$11.59	$21.59
United Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $15.08 / $18.10	Facility		$8.85	$15.08	$18.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $8.63 / $12.81	Professional		$6.33	$8.63	$12.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $7.44 / $15.08	Professional		$5.88	$7.44	$15.08