Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $17.48 / $287.79	Facility		$10.29	$17.48	$287.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $17.89 / $32.51	Professional		$10.71	$17.89	$32.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.78 / $73.78 / $73.78	Professional	50	$73.78	$73.78	$73.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $34.21	Professional		$21.98	$21.98	$34.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $27.71 / $27.71 / $27.71	Professional	50	$27.71	$27.71	$27.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $87.47 / $203.69	Facility		$47.31	$87.47	$203.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $13.98 / $19.91	Professional		$8.83	$13.98	$19.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $30.00 / $34.17	Professional		$20.32	$30.00	$34.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.61 / $80.00	Facility		$9.61	$9.61	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $19.10	Facility		$19.10	$19.10	$19.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $24.06 / $57.85	Professional		$12.44	$24.06	$57.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $64.68	Facility		$55.00	$55.00	$64.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $188.91 / $206.74	Professional		$81.52	$188.91	$206.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $25.34 / $48.33	Facility		$11.48	$25.34	$48.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $22.38 / $34.34	Professional		$13.87	$22.38	$34.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $19.17 / $36.10	Professional		$10.45	$19.17	$36.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $25.80 / $48.33	Facility		$11.48	$25.80	$48.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $24.50 / $57.09	Professional		$12.72	$24.50	$57.09
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $23.78 / $45.12	Professional		$15.59	$23.78	$45.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $18.47 / $25.88	Professional		$16.28	$18.47	$25.88