Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $87.99 / $195.57	Facility		$28.67	$87.99	$195.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $33.95 / $43.39	Professional		$22.64	$33.95	$43.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $22.64 / $26.20	Professional		$18.11	$22.64	$26.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.58 / $121.87 / $209.67	Facility		$46.58	$121.87	$209.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.00 / $32.94	Professional		$5.00	$20.00	$32.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $60.37 / $225.91	Facility		$37.72	$60.37	$225.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $37.50 / $56.60	Professional		$27.65	$37.50	$56.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $39.61 / $39.61	Facility		$37.72	$39.61	$39.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $82.39 / $190.40	Facility		$26.37	$82.39	$190.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.62 / $63.46	Professional		$20.00	$27.62	$63.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.93 / $187.85 / $187.85	Facility		$123.93	$187.85	$187.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $37.72 / $56.07	Facility		$30.18	$37.72	$56.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $37.72 / $49.16	Professional		$33.96	$37.72	$49.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $68.86 / $94.23 / $249.62	Facility		$68.86	$94.23	$249.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $37.72 / $89.34	Facility		$30.18	$37.72	$89.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $29.01 / $54.50	Professional		$20.00	$29.01	$54.50
United Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $37.72 / $45.28	Facility		$22.13	$37.72	$45.28
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.74 / $32.42	Professional		$15.85	$21.74	$32.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $18.63 / $37.72	Professional		$14.71	$18.63	$37.72