Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $188.31 / $629.41	Facility		$17.05	$188.31	$629.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $21.68 / $28.29	Professional		$17.94	$21.68	$28.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $20.87 / $22.98	Professional		$18.78	$20.87	$22.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $25.51 / $57.61	Facility		$17.43	$25.51	$57.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $17.67 / $26.95	Professional		$13.76	$17.67	$26.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $24.13 / $44.16	Professional		$22.52	$24.13	$44.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $20.41 / $25.19	Facility		$19.98	$20.41	$25.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $21.90 / $37.53	Professional		$16.00	$21.90	$37.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $101.94 / $101.94	Facility		$95.38	$101.94	$101.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $146.12 / $191.40	Professional		$127.44	$146.12	$191.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $21.70 / $28.32	Facility		$17.94	$21.70	$28.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.28 / $41.92	Professional		$23.44	$30.28	$41.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $24.54 / $34.47	Professional		$17.89	$24.54	$34.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $21.79 / $28.29	Facility		$17.94	$21.79	$28.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $22.84 / $45.92	Professional		$16.00	$22.84	$45.92
United Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $23.22 / $37.79	Professional		$17.87	$23.22	$37.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $23.44 / $32.17	Professional		$19.88	$23.44	$32.17