Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $74.12 / $147.19	Facility		$13.66	$74.12	$147.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.01 / $19.78	Professional		$11.69	$16.01	$19.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $12.48 / $13.77	Professional		$8.63	$12.48	$13.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $59.33 / $104.08	Facility		$22.30	$59.33	$104.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.52 / $16.00	Professional		$5.00	$9.52	$16.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $27.87 / $95.85	Facility		$17.07	$27.87	$95.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.98 / $26.97	Professional		$13.49	$17.98	$26.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Facility		$17.98	$17.98	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $39.28 / $82.52	Facility		$12.57	$39.28	$82.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.82 / $30.09	Professional		$9.52	$13.82	$30.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $86.10 / $86.10	Facility		$59.04	$86.10	$86.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $17.98 / $22.48	Facility		$14.38	$17.98	$22.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $17.98 / $24.93	Professional		$16.18	$17.98	$24.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $172.63 / $234.82 / $1,006.23	Facility		$172.63	$234.82	$1,006.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $17.98 / $45.42	Facility		$14.38	$17.98	$45.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.98 / $25.97	Professional		$9.52	$13.98	$25.97
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.38 / $12.60	Professional		$7.55	$10.38	$12.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $8.88 / $17.98	Professional		$7.01	$8.88	$17.98