Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $27.07 / $102.68	Facility		$12.99	$27.07	$102.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $15.06 / $36.39	Professional		$11.71	$15.06	$36.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $22.05 / $35.19	Professional		$11.02	$22.05	$35.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $62.19 / $120.47	Facility		$23.22	$62.19	$120.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $27.04 / $32.26	Professional		$12.21	$27.04	$32.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $19.44 / $26.66	Facility		$18.18	$19.44	$26.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $24.88 / $32.84	Professional		$17.77	$24.88	$32.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $18.55 / $23.10	Facility		$15.24	$18.55	$23.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $37.17 / $58.91	Facility		$13.97	$37.17	$58.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $16.63 / $42.56	Professional		$9.34	$16.63	$42.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $92.53 / $92.53	Facility		$80.00	$92.53	$92.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $151.72 / $218.88	Professional		$119.22	$151.72	$218.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $22.30 / $41.78	Facility		$13.71	$22.30	$41.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $29.88 / $56.80	Professional		$21.24	$29.88	$56.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $24.35 / $42.30	Professional		$14.78	$24.35	$42.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $23.15 / $53.35	Facility		$13.79	$23.15	$53.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $19.32 / $54.67	Professional		$9.35	$19.32	$54.67
United Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $21.24 / $54.41	Professional		$13.96	$21.24	$54.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $14.16 / $23.10	Professional		$11.92	$14.16	$23.10