Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $209.97 / $621.00	Facility		$24.48	$209.97	$621.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $33.15 / $53.03	Professional		$22.59	$33.15	$53.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $32.57 / $40.71	Professional		$15.84	$32.57	$40.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $417.60 / $850.94	Facility		$124.06	$417.60	$850.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $37.17 / $57.75	Professional		$22.06	$37.17	$57.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $134.62 / $249.78 / $335.43	Facility		$134.62	$249.78	$335.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $140.58 / $140.58	Facility		$20.98	$140.58	$140.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $56.00 / $196.00	Facility		$15.59	$56.00	$196.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $28.82 / $56.37	Professional		$16.80	$28.82	$56.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.49 / $120.32 / $120.32	Facility		$110.49	$120.32	$120.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $11.05 / $12.03 / $12.03	Facility	AS	$11.05	$12.03	$12.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $268.44 / $355.43	Professional		$158.51	$268.44	$355.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $40.36 / $59.07	Facility		$23.49	$40.36	$59.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.22 / $75.69	Professional		$29.51	$47.22	$75.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $23.29 / $40.84	Professional		$20.87	$23.29	$40.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $40.36 / $59.07	Facility		$23.40	$40.36	$59.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $29.75 / $60.66	Professional		$16.80	$29.75	$60.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $38.04 / $44.75	Professional		$33.52	$38.04	$44.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $40.71 / $56.99	Professional		$35.89	$40.71	$56.99