Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $89.23 / $191.25	Facility		$20.35	$89.23	$191.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $23.34 / $30.80	Professional		$16.07	$23.34	$30.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $16.07 / $18.59	Professional		$12.85	$16.07	$18.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $86.50 / $155.00	Facility		$33.06	$86.50	$155.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.19 / $23.83	Professional		$5.00	$14.19	$23.83
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $42.85 / $160.34	Facility		$26.78	$42.85	$160.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $26.78 / $45.54	Professional		$20.09	$26.78	$45.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $37.49 / $37.49	Facility		$26.78	$37.49	$37.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $58.13 / $119.27	Facility		$18.71	$58.13	$119.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $19.50 / $41.00	Professional		$14.19	$19.50	$41.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $128.00 / $128.00	Facility		$72.28	$128.00	$128.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $39.88 / $44.53	Professional		$24.10	$39.88	$44.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $26.78 / $34.81	Facility		$21.42	$26.78	$34.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $26.78 / $29.46	Professional		$22.76	$26.78	$29.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $393.91 / $562.44 / $727.67	Facility		$393.91	$562.44	$727.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $26.78 / $66.73	Facility		$21.42	$26.78	$66.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $20.59 / $29.87	Professional		$14.19	$20.59	$29.87
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.34 / $21.86	Professional		$11.25	$15.34	$21.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $13.22 / $26.78	Professional		$10.44	$13.22	$26.78