Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $16.92 / $23.81	Facility		$13.93	$16.92	$23.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $20.07 / $61.87	Professional		$16.92	$20.07	$61.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $22.59 / $26.45	Professional		$21.11	$22.59	$26.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $290.02 / $539.91	Facility		$109.03	$290.02	$539.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $20.12 / $29.16	Professional		$15.80	$20.12	$29.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.82 / $36.02	Professional		$19.50	$24.82	$36.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $22.43 / $22.43	Facility		$15.84	$22.43	$22.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.86 / $111.11 / $352.00	Facility		$22.86	$111.11	$352.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $27.38 / $89.85	Professional		$18.57	$27.38	$89.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.26 / $90.39 / $90.39	Facility		$83.26	$90.39	$90.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $271.23 / $371.24	Professional		$201.00	$271.23	$371.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $21.88 / $67.28	Facility		$17.03	$21.88	$67.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $31.13 / $130.82	Professional		$20.87	$31.13	$130.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $20.90 / $32.02	Professional		$17.50	$20.90	$32.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.94 / $67.28	Facility		$16.98	$21.94	$67.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $31.02 / $81.03	Professional		$19.62	$31.02	$81.03
United Facility/Professional Facility Modifier Low / Median / High Price $196.05 / $203.83 / $268.88	Facility		$196.05	$203.83	$268.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $34.20 / $81.11	Professional		$16.87	$34.20	$81.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $18.13 / $24.52	Professional		$15.46	$18.13	$24.52