Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $63.36 / $242.80	Facility		$11.77	$63.36	$242.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $24.78 / $28.10	Professional		$9.28	$24.78	$28.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $9.30 / $15.49	Professional		$7.44	$9.30	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $49.57 / $92.79	Facility		$18.12	$49.57	$92.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.21 / $15.18	Professional		$5.00	$8.21	$15.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $24.01 / $95.00	Facility		$15.49	$24.01	$95.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.28 / $26.33	Professional		$10.84	$15.28	$26.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $16.27 / $16.27	Facility		$15.49	$16.27	$16.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $34.04 / $78.02	Facility		$10.82	$34.04	$78.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $11.49 / $23.75	Professional		$8.21	$11.49	$23.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $121.75 / $175.00	Facility		$96.92	$121.75	$175.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $15.49 / $23.04	Facility		$12.39	$15.49	$23.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $15.49 / $20.19	Professional		$13.94	$15.49	$20.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $328.01 / $468.36 / $605.94	Facility		$328.01	$468.36	$605.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $15.49 / $38.93	Facility		$12.39	$15.49	$38.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $12.05 / $22.38	Professional		$8.21	$12.05	$22.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $8.86 / $15.36	Professional		$6.51	$8.86	$15.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $7.65 / $15.49	Professional		$6.04	$7.65	$15.49