Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.53 / $78.69 / $185.86	Facility		$16.53	$78.69	$185.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $11.86 / $20.00	Professional		$9.91	$11.86	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $8.27	Professional		$8.27	$8.27	$8.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $41.33 / $85.46	Facility		$11.57	$41.33	$85.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.09 / $11.81	Professional		$5.00	$9.09	$11.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $24.00 / $333.29	Facility		$14.88	$24.00	$333.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $16.82 / $26.45	Professional		$15.66	$16.82	$26.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.53 / $16.53 / $16.53	Facility		$16.53	$16.53	$16.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $27.79 / $73.48	Facility		$11.55	$27.79	$73.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.43 / $25.30	Professional		$8.02	$13.43	$25.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $78.52 / $78.52	Facility		$50.00	$78.52	$78.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $20.27 / $29.34	Professional		$14.03	$20.27	$29.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $16.53 / $144.91	Facility		$12.04	$16.53	$144.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $16.53 / $20.11	Professional		$14.88	$16.53	$20.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $912.21 / $1,465.41 / $2,255.71	Facility		$912.21	$1,465.41	$2,255.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $16.53 / $37.96	Facility		$12.04	$16.53	$37.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.55 / $20.10	Professional		$8.02	$13.55	$20.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $9.92 / $16.76	Professional		$9.80	$9.92	$16.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $16.53	Professional		$6.61	$6.61	$16.53