Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $27.23 / $917.00	Facility		$13.85	$27.23	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $23.00 / $55.41	Professional		$17.44	$23.00	$55.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $20.21 / $25.67	Professional		$16.79	$20.21	$25.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $49.03 / $110.55	Facility		$19.75	$49.03	$110.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $19.45 / $33.40	Professional		$15.29	$19.45	$33.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $27.65 / $45.47	Professional		$20.21	$27.65	$45.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $20.25 / $20.49	Facility		$20.25	$20.25	$20.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $32.70 / $199.33	Facility		$22.10	$32.70	$199.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $29.15 / $47.06	Professional		$21.18	$29.15	$47.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $99.21 / $102.46	Facility		$49.44	$99.21	$102.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $250.96 / $250.96 / $250.96	Professional		$250.96	$250.96	$250.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $26.53 / $48.03	Facility		$19.54	$26.53	$48.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $28.07 / $39.10	Professional		$23.06	$28.07	$39.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $24.26 / $38.68	Professional		$20.17	$24.26	$38.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $26.53 / $49.26	Facility		$19.63	$26.53	$49.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $29.92 / $49.14	Professional		$21.34	$29.92	$49.14
United Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $32.15 / $34.26	Facility		$20.62	$32.15	$34.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $23.56 / $37.85	Professional		$17.05	$23.56	$37.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $19.75 / $27.28	Professional		$17.11	$19.75	$27.28