Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $91.00 / $195.25	Facility		$22.88	$91.00	$195.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $12.44 / $18.46	Professional		$8.56	$12.44	$18.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $8.56 / $10.94	Professional		$6.85	$8.56	$10.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $44.91 / $84.19	Facility		$15.70	$44.91	$84.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.56 / $9.56	Professional		$5.00	$7.56	$9.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $22.83 / $128.65	Facility		$13.19	$22.83	$128.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $17.50 / $32.11	Professional		$11.42	$17.50	$32.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $14.98 / $14.98	Facility		$14.27	$14.98	$14.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.97 / $31.37 / $72.73	Facility		$9.97	$31.37	$72.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $11.10 / $30.18	Professional		$7.56	$11.10	$30.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $74.00 / $74.00	Facility		$51.71	$74.00	$74.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $18.16 / $25.31	Professional		$12.78	$18.16	$25.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.42 / $14.27 / $104.52	Facility		$11.42	$14.27	$104.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $14.27 / $30.32	Professional		$12.84	$14.27	$30.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $216.20 / $295.85 / $808.48	Facility		$216.20	$295.85	$808.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $14.27 / $35.69	Facility		$11.43	$14.27	$35.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $11.10 / $20.62	Professional		$7.56	$11.10	$20.62
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.16 / $11.65	Professional		$5.99	$8.16	$11.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $7.04 / $14.27	Professional		$7.04	$7.04	$14.27