Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $82.97 / $2,113.10	Facility		$20.55	$82.97	$2,113.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $31.10	Professional		$20.35	$20.55	$31.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $39.58	Professional		$25.60	$25.60	$39.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.34 / $217.11 / $432.34	Facility		$88.34	$217.11	$432.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $28.47 / $28.47	Professional		$28.47	$28.47	$28.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $36.99 / $805.04	Facility		$28.27	$36.99	$805.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $225.37 / $225.37 / $225.37	Facility		$225.37	$225.37	$225.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $20.35 / $69.53	Facility		$19.20	$20.35	$69.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $21.12	Professional		$20.35	$20.35	$21.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $272.45 / $628.59 / $628.59	Facility		$272.45	$628.59	$628.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $573.77 / $573.77 / $573.77	Professional		$573.77	$573.77	$573.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.93 / $28.27 / $69.37	Facility		$19.93	$28.27	$69.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.76 / $33.58	Professional		$20.35	$20.76	$33.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $27.47 / $77.93	Professional		$20.62	$27.47	$77.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.93 / $20.76 / $70.00	Facility		$19.93	$20.76	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $61.09	Professional		$20.35	$20.35	$61.09
United Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Facility		$25.60	$25.60	$25.60
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.57 / $22.79	Professional		$20.35	$21.57	$22.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $28.27 / $46.35	Professional		$20.35	$28.27	$46.35