Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.07 / $85.00 / $209.08	Facility		$41.07	$85.00	$209.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $20.04 / $27.63	Professional		$12.76	$20.04	$27.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.05 / $17.55	Professional		$10.84	$16.05	$17.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $75.61 / $142.07	Facility		$26.49	$75.61	$142.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.76 / $18.19	Professional		$5.00	$12.76	$18.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $34.92 / $142.51	Facility		$16.86	$34.92	$142.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $25.28 / $38.77	Professional		$16.86	$25.28	$38.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $33.71 / $33.71	Facility		$24.08	$33.71	$33.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $53.21 / $111.86	Facility		$17.03	$53.21	$111.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $18.05 / $40.47	Professional		$12.76	$18.05	$40.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $114.38 / $114.38	Facility		$51.70	$114.38	$114.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $34.95 / $39.70	Professional		$21.49	$34.95	$39.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $24.08 / $88.32	Facility		$19.26	$24.08	$88.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.08 / $31.38	Professional		$18.05	$24.08	$31.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $130.61 / $178.74 / $473.54	Facility		$130.61	$178.74	$473.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $24.08 / $66.48	Facility		$19.26	$24.08	$66.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $18.54 / $34.79	Professional		$12.76	$18.54	$34.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $13.78 / $16.80	Professional		$10.11	$13.78	$16.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $24.08	Professional		$11.89	$11.89	$24.08