Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $49.04 / $127.92	Facility		$12.15	$49.04	$127.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.90 / $18.88	Professional		$10.49	$13.90	$18.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $14.52 / $18.16	Professional		$14.07	$14.52	$18.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $168.33 / $202.99	Facility		$34.65	$168.33	$202.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $13.49 / $22.74	Professional		$10.91	$13.49	$22.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $19.60 / $24.92	Professional		$14.98	$19.60	$24.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $15.55 / $15.55	Facility		$11.56	$15.55	$15.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $17.23 / $27.81	Professional		$12.62	$17.23	$27.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.55 / $82.55 / $84.95	Facility		$82.55	$82.55	$84.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $98.45 / $124.95	Professional		$89.79	$98.45	$124.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $14.52 / $19.57	Facility		$11.14	$14.52	$19.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $18.60 / $40.50	Professional		$15.54	$18.60	$40.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $15.97 / $27.59	Professional		$12.58	$15.97	$27.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.49 / $14.28 / $19.41	Facility		$10.49	$14.28	$19.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $17.72 / $27.86	Professional		$13.03	$17.72	$27.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $15.43 / $22.95	Professional		$12.15	$15.43	$22.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.52 / $62.00	Professional		$12.30	$14.52	$62.00