Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $42.30 / $6,100.16	Facility		$24.17	$42.30	$6,100.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $26.01 / $30.92	Professional		$25.77	$26.01	$30.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $23.93	Professional		$23.93	$23.93	$23.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $163.63 / $324.11	Facility		$65.70	$163.63	$324.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $28.59 / $28.59	Professional		$28.59	$28.59	$28.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $49.98 / $7,721.32	Facility		$23.93	$49.98	$7,721.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $29.91 / $53.84	Professional		$23.93	$29.91	$53.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $674.58 / $674.58 / $674.58	Facility		$674.58	$674.58	$674.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $25.77 / $33.35	Facility		$20.23	$25.77	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Professional		$25.77	$25.77	$25.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $311.20 / $311.20	Facility		$75.00	$311.20	$311.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $101.56 / $101.68	Professional		$101.56	$101.56	$101.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $25.77 / $65.06	Facility		$23.93	$25.77	$65.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $26.29 / $46.91	Professional		$25.77	$26.29	$46.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $28.38 / $53.08	Professional		$25.77	$28.38	$53.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $25.77 / $60.42	Facility		$25.77	$25.77	$60.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $29.68	Professional		$25.77	$25.77	$29.68
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.32 / $28.69	Professional		$25.77	$27.32	$28.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $25.77 / $36.08	Professional		$23.00	$25.77	$36.08