Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $83.01 / $166.23	Facility		$23.22	$83.01	$166.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $17.29 / $33.74	Professional		$12.77	$17.29	$33.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.61 / $13.44	Professional		$8.71	$11.61	$13.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $63.86 / $112.07	Facility		$23.99	$63.86	$112.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.26 / $12.00	Professional		$5.00	$10.26	$12.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $29.99 / $110.72	Facility		$18.38	$29.99	$110.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $19.10 / $29.03	Professional		$14.51	$19.10	$29.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $20.32 / $20.32	Facility		$19.35	$20.32	$20.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $42.27 / $88.18	Facility		$13.52	$42.27	$88.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $14.08 / $32.82	Professional		$10.26	$14.08	$32.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $91.98 / $91.98	Facility		$50.00	$91.98	$91.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $28.60 / $32.20	Professional		$17.42	$28.60	$32.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $19.35 / $32.79	Facility		$15.48	$19.35	$32.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $19.35 / $26.85	Professional		$17.42	$19.35	$26.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.69 / $207.59 / $402.52	Facility		$151.69	$207.59	$402.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $19.35 / $48.23	Facility		$15.48	$19.35	$48.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $14.90 / $27.96	Professional		$10.26	$14.90	$27.96
United Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $13.29 / $14.61	Facility		$6.77	$13.29	$14.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.15 / $19.19	Professional		$8.13	$11.15	$19.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $9.56 / $19.35	Professional		$7.55	$9.56	$19.35