Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $190.48 / $524.30	Facility		$35.09	$190.48	$524.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $40.99 / $63.66	Professional		$20.46	$40.99	$63.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $19.30 / $40.36	Professional		$17.55	$19.30	$40.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $110.49 / $205.38	Facility		$41.76	$110.49	$205.38
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 $32.43 / $54.39 / $229.04	Facility		$32.43	$54.39	$229.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $36.15 / $78.95	Professional		$28.07	$36.15	$78.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$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 $88.87 / $167.46 / $206.00	Facility		$88.87	$167.46	$206.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $325.62 / $325.62	Professional		$325.62	$325.62	$325.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $52.15 / $93.18	Facility		$27.37	$52.15	$93.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $58.85	Professional		$33.34	$35.09	$58.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $22.81 / $78.95	Professional		$17.55	$22.81	$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 / $20.11 / $29.03	Professional		$14.74	$20.11	$29.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09