Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $99.86 / $383.20	Facility		$27.03	$99.86	$383.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $15.75 / $34.13	Professional		$12.51	$15.75	$34.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $15.59 / $19.07	Professional		$13.74	$15.59	$19.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $48.56 / $88.30	Facility		$20.84	$48.56	$88.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $12.96	Professional		$12.96	$12.96	$12.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $17.93 / $28.21	Professional		$15.25	$17.93	$28.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $14.94 / $16.01	Facility		$14.23	$14.94	$16.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.48 / $80.48	Facility		$80.00	$80.48	$80.48
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2.68 / $7.27 / $7.88	Facility	AS	$2.68	$7.27	$7.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $98.60 / $130.05	Professional		$22.88	$98.60	$130.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $15.70 / $20.23	Facility		$13.90	$15.70	$20.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $20.19 / $27.95	Professional		$17.07	$20.19	$27.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.38 / $258.14 / $735.30	Facility		$181.38	$258.14	$735.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $17.95 / $28.85	Professional		$14.49	$17.95	$28.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $15.72 / $20.23	Facility		$13.73	$15.72	$20.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
United Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $18.35 / $27.11	Professional		$13.26	$18.35	$27.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $15.25 / $21.05	Professional		$13.25	$15.25	$21.05