Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.65 / $282.31 / $1,364.39	Facility		$46.65	$282.31	$1,364.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $21.76 / $70.36	Professional		$11.33	$21.76	$70.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $14.60 / $46.29	Professional		$11.44	$14.60	$46.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $33.42 / $58.89	Facility		$13.37	$33.42	$58.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $35.58 / $68.20	Professional		$9.90	$35.58	$68.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $35.39 / $54.80	Facility		$12.13	$35.39	$54.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $23.28 / $78.03	Professional		$12.58	$23.28	$78.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $12.75 / $46.17	Facility		$10.89	$12.75	$46.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $42.89 / $77.23	Professional		$12.30	$42.89	$77.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $92.21 / $92.21	Facility		$81.52	$92.21	$92.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.24 / $324.58 / $421.73	Professional		$187.24	$324.58	$421.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $40.64 / $104.96	Facility		$11.57	$40.64	$104.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $48.52 / $120.00	Professional		$14.55	$48.52	$120.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,095.00 / $7,047.29 / $8,551.00	Facility		$6,095.00	$7,047.29	$8,551.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $44.73 / $82.54	Professional		$11.34	$44.73	$82.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $39.15 / $81.01	Facility		$11.57	$39.15	$81.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $42.89 / $92.57	Professional		$12.45	$42.89	$92.57
United Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $56.77 / $86.10	Professional		$41.29	$56.77	$86.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $48.43 / $65.84	Professional		$41.41	$48.43	$65.84