Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $71.68 / $109.08	Facility		$16.00	$71.68	$109.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $17.91 / $30.07	Professional		$12.03	$17.91	$30.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.03 / $24.06	Professional		$10.02	$12.03	$24.06
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 / $28.02 / $60.37	Facility		$18.05	$28.02	$60.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $28.07 / $39.22	Professional		$18.05	$28.07	$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 / $44.16 / $94.18	Facility		$22.97	$44.16	$94.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $14.92 / $44.81	Professional		$11.41	$14.92	$44.81
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 $153.93 / $164.83 / $164.83	Professional		$153.93	$164.83	$164.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $29.82 / $50.44	Facility		$16.46	$29.82	$50.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $33.22	Professional		$20.05	$20.05	$33.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $274.43 / $375.52 / $650.78	Facility		$274.43	$375.52	$650.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $22.05 / $36.49	Professional		$13.03	$22.05	$36.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $32.20 / $77.70	Facility		$16.23	$32.20	$77.70
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