Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $78.43 / $193.51	Facility		$16.41	$78.43	$193.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.85 / $25.12	Professional		$9.35	$12.85	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.99 / $11.03	Professional		$6.91	$9.99	$11.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $46.08 / $84.23	Facility		$17.12	$46.08	$84.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.63 / $14.10	Professional		$5.00	$7.63	$14.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $23.02 / $88.25	Facility		$14.39	$23.02	$88.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $14.39 / $21.59	Professional		$10.79	$14.39	$21.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $45.81 / $45.81	Facility		$14.39	$45.81	$45.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $31.60 / $72.73	Facility		$10.06	$31.60	$72.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $10.47 / $24.07	Professional		$7.63	$10.47	$24.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $72.00 / $72.00	Facility		$54.52	$72.00	$72.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $14.39 / $21.47	Facility		$11.51	$14.39	$21.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $14.39 / $19.97	Professional		$12.23	$14.39	$19.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $789.05 / $1,049.33 / $6,691.68	Facility		$789.05	$1,049.33	$6,691.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $14.39 / $35.88	Facility		$11.51	$14.39	$35.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $11.06 / $20.88	Professional		$7.63	$11.06	$20.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.24 / $11.75	Professional		$6.04	$8.24	$11.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $7.11 / $14.39	Professional		$5.61	$7.11	$14.39