Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $75.59 / $143.25	Facility		$11.73	$75.59	$143.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $12.67 / $19.98	Professional		$8.73	$12.67	$19.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $8.73 / $14.55	Professional		$3.93	$8.73	$14.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $45.69 / $83.24	Facility		$16.01	$45.69	$83.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.00 / $14.40	Professional		$5.00	$8.00	$14.40
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $21.83 / $120.41	Facility		$13.44	$21.83	$120.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $14.55 / $24.74	Professional		$10.91	$14.55	$24.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $14.55 / $14.55	Facility		$14.55	$14.55	$14.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $31.97 / $74.04	Facility		$10.17	$31.97	$74.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $12.20 / $25.43	Professional		$8.27	$12.20	$25.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $71.25 / $100.00	Facility		$56.03	$71.25	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $21.26 / $24.15	Professional		$13.07	$21.26	$24.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $14.55 / $64.00	Facility		$11.64	$14.55	$64.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $14.55 / $18.96	Professional		$13.10	$14.55	$18.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $97.12 / $132.91 / $311.02	Facility		$97.12	$132.91	$311.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $14.55 / $36.50	Facility		$11.64	$14.55	$36.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $14.21 / $24.08	Professional		$7.71	$14.21	$24.08
United Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $8.38 / $14.55	Professional		$6.11	$8.38	$14.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $7.18 / $14.55	Professional		$5.67	$7.18	$14.55