Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $51.57 / $17,701.30	Facility		$29.98	$51.57	$17,701.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.28 / $38.78	Professional		$29.98	$30.28	$38.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $68.16 / $136.00	Facility		$26.93	$68.16	$136.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $30.38 / $30.38	Professional		$30.38	$30.38	$30.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $29.63 / $9,230.61	Facility		$23.33	$29.63	$9,230.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $37.50 / $43.71	Professional		$29.63	$37.50	$43.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $12,212.40 / $12,212.40 / $12,212.40	Facility		$12,212.40	$12,212.40	$12,212.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $29.98 / $29.98	Facility		$28.28	$29.98	$29.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $29.98	Professional		$29.98	$29.98	$29.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $144.50 / $149.90	Facility		$75.00	$144.50	$149.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $127.20 / $127.20	Professional		$127.20	$127.20	$127.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $30.00 / $61.76	Facility		$29.98	$30.00	$61.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.58 / $49.47	Professional		$29.98	$30.58	$49.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $34.43 / $55.40	Professional		$29.98	$34.43	$55.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $53.52	Facility		$29.98	$29.98	$53.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $36.01	Professional		$29.98	$29.98	$36.01
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $31.78 / $33.36	Professional		$29.98	$31.78	$33.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $29.98 / $41.97	Professional		$28.81	$29.98	$41.97