Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $73.75 / $115.65	Facility		$16.16	$73.75	$115.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $17.88 / $29.28	Professional		$12.03	$17.88	$29.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $13.93	Professional		$10.02	$10.02	$13.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $63.96 / $110.81	Facility		$24.86	$63.96	$110.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.03 / $28.07	Professional		$5.00	$11.03	$28.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $27.71 / $59.10	Facility		$18.05	$27.71	$59.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $27.27 / $39.22	Professional		$18.05	$27.27	$39.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $20.05	Facility		$18.05	$18.05	$20.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $45.84 / $105.96	Facility		$22.97	$45.84	$105.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $14.92 / $44.18	Professional		$11.41	$14.92	$44.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $95.52 / $95.52	Facility		$53.53	$95.52	$95.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $180.90	Professional		$180.90	$180.90	$180.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $29.82 / $50.67	Facility		$15.64	$29.82	$50.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $36.29	Professional		$20.05	$20.05	$36.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $55.95 / $76.56 / $131.52	Facility		$55.95	$76.56	$131.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.05 / $36.49	Professional		$19.05	$22.05	$36.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $32.22 / $73.23	Facility		$16.46	$32.22	$73.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $19.88 / $38.99	Professional		$11.65	$19.88	$38.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.49 / $16.39	Professional		$8.42	$11.49	$16.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $10.39 / $20.05	Professional		$9.90	$10.39	$20.05