Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $53.04 / $801.00	Facility		$17.46	$53.04	$801.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $53.04 / $108.20	Professional		$25.81	$53.04	$108.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.97 / $117.97 / $428.22	Professional		$117.97	$117.97	$428.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.68 / $159.04 / $298.72	Facility		$61.68	$159.04	$298.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $62.45 / $114.13	Professional		$25.99	$62.45	$114.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $68.44 / $96.48	Facility		$28.29	$68.44	$96.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $39.13 / $156.72	Professional		$29.92	$39.13	$156.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $26.97 / $84.98	Facility		$23.46	$26.97	$84.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $46.38 / $266.00	Facility		$27.91	$46.38	$266.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $79.09 / $141.37	Professional		$30.15	$79.09	$141.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.77 / $143.31 / $143.31	Facility		$140.77	$143.31	$143.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $586.42 / $686.70	Professional		$304.58	$586.42	$686.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $74.59 / $142.56	Facility		$28.12	$74.59	$142.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $91.51 / $142.03	Professional		$35.47	$91.51	$142.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $80.06 / $144.08	Professional		$26.34	$80.06	$144.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $75.73 / $148.24	Facility		$28.12	$75.73	$148.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $81.79 / $168.49	Professional		$31.54	$81.79	$168.49
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $91.08 / $166.85	Professional		$67.84	$91.08	$166.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $79.54 / $108.09	Professional		$67.91	$79.54	$108.09