Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $74.44 / $2,020.28	Facility		$24.81	$74.44	$2,020.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $28.42 / $37.89	Professional		$18.27	$28.42	$37.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Professional		$30.29	$30.29	$30.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $48.93 / $118.73	Facility		$32.38	$48.93	$118.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $20.60 / $20.60	Professional		$20.60	$20.60	$20.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $32.45 / $478.41	Facility		$28.32	$32.45	$478.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $35.47 / $45.31	Professional		$30.96	$35.47	$45.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $25.99 / $50.71	Facility		$25.99	$25.99	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $203.25 / $205.53	Facility		$85.00	$203.25	$205.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $215.48 / $215.48 / $324.52	Professional		$215.48	$215.48	$324.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $33.86 / $53.97	Facility		$28.42	$33.86	$53.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $41.11 / $43.27	Professional		$36.78	$41.11	$43.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $53.60 / $85.30	Professional		$17.39	$53.60	$85.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $34.06 / $55.60	Facility		$28.80	$34.06	$55.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $35.97	Professional		$22.09	$22.09	$35.97
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.30	Professional		$15.00	$15.00	$15.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $43.27 / $58.41	Professional		$19.20	$43.27	$58.41