Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $62.99 / $19,346.50	Facility		$36.28	$62.99	$19,346.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.61 / $45.35	Professional		$36.28	$36.61	$45.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $50.79 / $50.79	Professional		$50.79	$50.79	$50.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $36.14 / $88.70	Facility		$36.14	$36.14	$88.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.14 / $36.14	Professional		$36.14	$36.14	$36.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $34.18 / $9,689.06	Facility		$28.99	$34.18	$9,689.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $43.47 / $50.41	Professional		$34.18	$43.47	$50.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $36.97 / $80.00	Facility		$36.97	$36.97	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $36.28 / $36.28	Facility		$34.22	$36.28	$36.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Professional		$36.28	$36.28	$36.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $179.00 / $181.40	Facility		$75.00	$179.00	$181.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $156.44 / $156.44	Professional		$156.44	$156.44	$156.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.28 / $74.73	Facility		$36.26	$36.28	$74.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $43.54 / $59.86	Professional		$36.28	$43.54	$59.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $40.68 / $70.30	Professional		$35.65	$40.68	$70.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $36.28 / $64.75	Facility		$36.28	$36.28	$64.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $43.34	Professional		$36.28	$36.28	$43.34
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $38.46 / $40.39	Professional		$36.28	$38.46	$40.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $36.28 / $50.79	Professional		$35.44	$36.28	$50.79