Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $135.56 / $277.33	Facility		$26.53	$135.56	$277.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $26.31 / $46.17	Professional		$21.05	$26.31	$46.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $21.05	Professional		$17.55	$17.55	$21.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $110.49 / $210.19	Facility		$41.76	$110.49	$210.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $52.64 / $215.25	Facility		$35.09	$52.64	$215.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $31.58 / $35.09	Professional		$24.56	$31.58	$35.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $25.44 / $35.09	Facility		$25.44	$25.44	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $80.56 / $186.82	Facility		$40.20	$80.56	$186.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $77.45	Professional		$19.88	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $167.46 / $167.46	Facility		$73.45	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $397.98 / $397.98 / $397.98	Professional		$397.98	$397.98	$397.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $47.37 / $87.97	Facility		$27.37	$47.37	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $35.09 / $48.69	Professional		$34.39	$35.09	$48.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $43.86 / $78.95	Professional		$22.81	$43.86	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $56.40 / $127.08	Facility		$28.80	$56.40	$127.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.26 / $30.16	Professional		$14.74	$20.26	$30.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09