Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.88 / $85.11	Facility		$12.88	$33.88	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $21.88	Professional		$10.96	$14.45	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.22 / $21.88	Professional		$7.59	$11.22	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $58.88 / $102.33	Facility		$22.39	$58.88	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.00 / $10.96	Professional		$5.01	$10.00	$10.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.18 / $97.72	Facility		$18.20	$28.18	$97.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $35.48 / $81.28	Facility		$16.98	$35.48	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $23.44	Professional		$9.55	$9.55	$23.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.20 / $52.48	Facility		$13.80	$18.20	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.49 / $25.12	Professional		$10.00	$15.49	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $15.14	Professional		$13.49	$15.14	$15.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.91 / $52.48	Facility		$16.98	$22.91	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.62 / $50.12	Facility		$14.79	$18.62	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $18.20	Professional		$9.55	$9.55	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.72 / $18.20	Facility		$6.46	$10.72	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $15.14	Professional		$7.59	$9.33	$15.14