Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $76.56 / $247.56	Facility		$17.12	$76.56	$247.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $16.55 / $23.17	Professional		$10.22	$16.55	$23.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.78 / $14.09	Professional		$9.27	$12.78	$14.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $60.83 / $108.33	Facility		$22.59	$60.83	$108.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.23 / $11.97	Professional		$5.00	$10.23	$11.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $30.90 / $139.10	Facility		$19.30	$30.90	$139.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $19.30 / $28.97	Professional		$14.48	$19.30	$28.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $40.97 / $86.06	Facility		$13.50	$40.97	$86.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.23 / $27.66	Professional		$10.16	$10.23	$27.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $91.72 / $95.74	Facility		$76.59	$91.72	$95.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $23.81 / $29.16	Professional		$19.26	$23.81	$29.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.30 / $60.97	Facility		$17.38	$19.30	$60.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.30 / $33.36	Professional		$17.38	$19.30	$33.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $117.14 / $401.93	Facility		$85.58	$117.14	$401.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $19.30 / $44.16	Facility		$16.59	$19.30	$44.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $18.34 / $26.68	Professional		$10.16	$18.34	$26.68
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.62 / $15.02	Professional		$8.11	$10.62	$15.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $9.08 / $19.30	Professional		$7.53	$9.08	$19.30