Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $75.48 / $136.77	Facility		$14.86	$75.48	$136.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $11.03 / $14.25	Professional		$8.18	$11.03	$14.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.43 / $8.60	Professional		$5.58	$7.43	$8.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $40.02 / $71.98	Facility		$14.50	$40.02	$71.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.57 / $8.67	Professional		$5.00	$6.57	$8.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $19.82 / $80.84	Facility		$12.39	$19.82	$80.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $13.01 / $21.07	Professional		$9.28	$13.01	$21.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $12.27 / $12.39	Facility		$12.27	$12.27	$12.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $27.21 / $62.14	Facility		$8.66	$27.21	$62.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $9.27 / $19.10	Professional		$6.57	$9.27	$19.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $60.00	Facility		$50.00	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $17.95 / $20.39	Professional		$11.04	$17.95	$20.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $12.39 / $21.68	Facility		$9.91	$12.39	$21.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $12.39 / $20.55	Professional		$11.15	$12.39	$20.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $182.40 / $1,050.68	Facility		$133.80	$182.40	$1,050.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $12.39 / $30.89	Facility		$9.91	$12.39	$30.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $9.63 / $17.75	Professional		$6.57	$9.63	$17.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.10 / $10.50	Professional		$5.20	$7.10	$10.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $6.12 / $12.39	Professional		$4.83	$6.12	$12.39