Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $114.70 / $244.73	Facility		$19.62	$114.70	$244.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.04 / $23.38	Professional		$15.49	$23.04	$23.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $15.49 / $15.49	Professional		$12.39	$15.49	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $82.59 / $151.02	Facility		$30.71	$82.59	$151.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.68 / $24.78	Professional		$5.00	$13.68	$24.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $41.30 / $176.29	Facility		$25.81	$41.30	$176.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $25.81 / $38.72	Professional		$19.36	$25.81	$38.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $27.10 / $27.10	Facility		$25.81	$27.10	$27.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $56.72 / $130.88	Facility		$18.04	$56.72	$130.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $18.77 / $43.77	Professional		$13.68	$18.77	$43.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $189.39 / $189.39	Facility		$120.00	$189.39	$189.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $25.81 / $38.40	Facility		$19.62	$25.81	$38.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $25.81 / $33.63	Professional		$23.23	$25.81	$33.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $112.59 / $160.74 / $207.97	Facility		$112.59	$160.74	$207.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $25.81 / $64.31	Facility		$20.51	$25.81	$64.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $19.84 / $36.97	Professional		$13.68	$19.84	$36.97
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.15 / $21.07	Professional		$10.84	$15.15	$21.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $12.74 / $25.81	Professional		$10.07	$12.74	$25.81