Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $65.47 / $172.29	Facility		$26.53	$65.47	$172.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $25.97 / $53.79	Professional		$19.64	$25.97	$53.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $40.35	Professional		$35.09	$35.09	$40.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $112.64 / $211.75	Facility		$43.33	$112.64	$211.75
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 / $54.39 / $207.70	Facility		$35.09	$54.39	$207.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $49.13 / $78.95	Professional		$33.65	$49.13	$78.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $35.09	Facility		$18.95	$18.95	$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 $28.10 / $52.09 / $87.97	Facility		$28.10	$52.09	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $45.62	Professional		$35.09	$35.09	$45.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $38.60 / $63.86	Professional		$33.34	$38.60	$63.86
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