Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $38.42 / $220.07	Facility		$21.53	$38.42	$220.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.73 / $29.56	Professional		$21.53	$21.73	$29.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $25.08 / $30.19	Professional		$21.53	$25.08	$30.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $80.69 / $160.04	Facility		$31.88	$80.69	$160.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $30.02 / $30.02	Professional		$30.02	$30.02	$30.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $24.04 / $146.24	Facility		$20.90	$24.04	$146.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $26.13 / $49.92	Professional		$21.02	$26.13	$49.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $23.02 / $80.00	Facility		$23.02	$23.02	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $21.52 / $21.52	Facility		$20.30	$21.52	$21.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $22.34	Professional		$21.52	$21.52	$22.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $875.64 / $875.64	Facility		$75.00	$875.64	$875.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $971.75 / $1,010.62	Professional		$826.00	$971.75	$1,010.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $24.11 / $87.50	Facility		$20.90	$24.11	$87.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.96 / $37.85	Professional		$21.53	$21.96	$37.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $25.83 / $47.05	Professional		$21.52	$25.83	$47.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $23.25 / $86.69	Facility		$21.53	$23.25	$86.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $30.73	Professional		$21.52	$21.52	$30.73
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.82 / $78.20	Professional		$21.53	$22.82	$78.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $21.53 / $30.14	Professional		$20.90	$21.53	$30.14