Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $65.84 / $159.66	Facility		$24.78	$65.84	$159.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $23.59 / $39.32	Professional		$18.35	$23.59	$39.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $11.47 / $11.47	Professional		$11.47	$11.47	$11.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $102.90 / $182.20	Facility		$36.70	$102.90	$182.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $17.37 / $31.46	Professional		$5.00	$17.37	$31.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $50.79 / $157.16	Facility		$30.28	$50.79	$157.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $36.04 / $45.88	Professional		$32.77	$36.04	$45.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $29.49 / $32.77	Facility		$29.49	$29.49	$32.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $68.59 / $143.13	Facility		$22.90	$68.59	$143.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $25.03 / $50.08	Professional		$15.68	$25.03	$50.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $155.66 / $155.66	Facility		$52.43	$155.66	$155.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $32.77 / $36.04	Facility		$23.87	$32.77	$36.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $32.77 / $32.77	Professional		$29.49	$32.77	$32.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.33 / $211.21 / $559.51	Facility		$154.33	$211.21	$559.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $32.77 / $81.92	Facility		$23.87	$32.77	$81.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $26.32 / $41.67	Professional		$15.69	$26.32	$41.67
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $19.66	Professional		$13.76	$13.76	$19.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $13.11 / $32.77	Professional		$13.11	$13.11	$32.77