Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $79.73 / $485.56	Facility		$14.89	$79.73	$485.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $15.09 / $20.12	Professional		$9.99	$15.09	$20.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $16.09 / $16.09	Professional		$16.09	$16.09	$16.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $25.79 / $63.22	Facility		$17.19	$25.79	$63.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $10.94 / $10.94	Professional		$10.94	$10.94	$10.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $492.99 / $492.99 / $492.99	Facility		$492.99	$492.99	$492.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $26.93	Facility		$13.80	$13.80	$26.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Professional		$11.73	$11.73	$11.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $46.65 / $108.15 / $109.16	Facility		$46.65	$108.15	$109.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $114.44 / $220.93	Professional		$114.44	$114.44	$220.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $18.07 / $28.65	Facility		$15.09	$18.07	$28.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $21.83 / $22.98	Professional		$19.42	$21.83	$22.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $24.61 / $45.30	Professional		$17.10	$24.61	$45.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $18.07 / $28.77	Facility		$15.29	$18.07	$28.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $19.14	Professional		$11.73	$11.73	$19.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.59 / $13.97	Professional		$8.11	$10.59	$13.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $22.98 / $31.02	Professional		$10.19	$22.98	$31.02