Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $53.01 / $88.72	Facility		$13.64	$53.01	$88.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $13.75 / $21.66	Professional		$10.11	$13.75	$21.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.28 / $11.28	Professional		$9.75	$11.28	$11.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $58.12 / $106.50	Facility		$22.18	$58.12	$106.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.57 / $14.44	Professional		$5.00	$9.57	$14.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $28.56 / $89.31	Facility		$18.05	$28.56	$89.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $18.95 / $18.95	Facility		$18.32	$18.95	$18.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $36.69 / $80.01	Facility		$14.66	$36.69	$80.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $9.49 / $23.44	Professional		$9.49	$9.49	$23.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.74 / $85.74	Facility		$80.00	$85.74	$85.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $18.05 / $23.10	Facility		$15.70	$18.05	$23.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $18.05 / $24.37	Professional		$16.25	$18.05	$24.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $22.56 / $23.03	Facility		$16.82	$22.56	$23.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $18.05 / $39.64	Facility		$15.70	$18.05	$39.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.64 / $22.79	Professional		$9.49	$12.64	$22.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $9.33 / $15.29	Professional		$7.58	$9.33	$15.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $18.05	Professional		$7.86	$7.86	$18.05