Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $88.33 / $223.40	Facility		$15.46	$88.33	$223.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $9.58 / $10.74	Professional		$7.09	$9.58	$10.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $6.44 / $10.74	Professional		$4.83	$6.44	$10.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $34.69 / $64.33	Facility		$12.89	$34.69	$64.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.91 / $7.52	Professional		$5.00	$5.91	$7.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $17.72 / $88.90	Facility		$10.19	$17.72	$88.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $11.10 / $21.01	Professional		$8.59	$11.10	$21.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Facility		$10.74	$10.74	$10.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $23.59 / $54.22	Facility		$7.51	$23.59	$54.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $8.06 / $16.53	Professional		$5.69	$8.06	$16.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $60.00 / $60.00	Facility		$45.00	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $15.59 / $17.71	Professional		$9.59	$15.59	$17.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.59 / $10.74 / $38.25	Facility		$8.59	$10.74	$38.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $10.74 / $22.83	Professional		$9.67	$10.74	$22.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.89 / $169.54 / $449.12	Facility		$123.89	$169.54	$449.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.59 / $10.74 / $26.77	Facility		$8.59	$10.74	$26.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $9.01 / $15.51	Professional		$5.69	$9.01	$15.51
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.15 / $7.94	Professional		$4.51	$6.15	$7.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $5.30 / $10.74	Professional		$4.19	$5.30	$10.74