Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.97 / $53.35 / $125.91	Facility		$9.97	$53.35	$125.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.69 / $18.80	Professional		$8.13	$11.69	$18.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $9.11 / $9.11	Professional		$6.30	$9.11	$9.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $43.30 / $77.80	Facility		$16.39	$43.30	$77.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.95 / $11.68	Professional		$5.00	$6.95	$11.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $21.65 / $77.68	Facility		$12.46	$21.65	$77.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $13.12 / $19.68	Professional		$9.84	$13.12	$19.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $18.37 / $18.37	Facility		$13.12	$18.37	$18.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $28.83 / $66.12	Facility		$9.17	$28.83	$66.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $9.57 / $21.88	Professional		$6.95	$9.57	$21.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $128.35 / $128.35	Facility		$59.61	$128.35	$128.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $13.12 / $19.48	Facility		$10.50	$13.12	$19.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $13.12 / $18.20	Professional		$11.81	$13.12	$18.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $333.58 / $431.59 / $897.36	Facility		$333.58	$431.59	$897.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $13.12 / $32.99	Facility		$10.50	$13.12	$32.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $10.09 / $18.80	Professional		$6.95	$10.09	$18.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $7.51 / $11.28	Professional		$5.51	$7.51	$11.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $6.48 / $13.12	Professional		$5.12	$6.48	$13.12