Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $77.52 / $205.20	Facility		$12.78	$77.52	$205.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $12.22 / $20.17	Professional		$10.08	$12.22	$20.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $8.41	Professional		$8.41	$8.41	$8.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $51.77 / $90.61	Facility		$18.48	$51.77	$90.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.25 / $12.44	Professional		$5.00	$9.25	$12.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $29.42 / $132.21	Facility		$16.57	$29.42	$132.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $63.68 / $63.68	Facility		$16.80	$63.68	$63.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $27.79 / $75.01	Facility		$11.74	$27.79	$75.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.73 / $25.81	Professional		$8.02	$13.73	$25.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $79.84 / $79.84	Facility		$50.00	$79.84	$79.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $16.80 / $59.14	Facility		$12.25	$16.80	$59.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $15.62 / $16.80	Professional		$14.29	$15.62	$16.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $119.07 / $161.91 / $449.10	Facility		$119.07	$161.91	$449.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $16.80 / $38.72	Facility		$12.25	$16.80	$38.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.44 / $17.18	Professional		$8.02	$13.44	$17.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $7.06 / $13.45	Professional		$6.87	$7.06	$13.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $6.72 / $16.80	Professional		$6.56	$6.72	$16.80