Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $60.26 / $204.17	Facility		$14.13	$60.26	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $22.39	Professional		$10.96	$14.13	$22.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $18.62	Professional		$8.91	$11.22	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $58.88 / $100.00	Facility		$22.39	$58.88	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.23 / $18.62	Professional		$5.01	$10.23	$18.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.92 / $100.00	Facility		$17.38	$26.92	$100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $29.51	Professional		$13.18	$19.05	$29.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $33.88 / $83.18	Facility		$15.14	$33.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.14 / $32.36	Professional		$8.71	$15.14	$32.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $18.62 / $114.82	Facility		$13.18	$18.62	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $28.18	Professional		$10.96	$15.14	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.49 / $15.49	Professional		$14.13	$15.49	$15.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $645.65	Facility		$208.93	$288.40	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $18.62 / $54.95	Facility		$13.49	$18.62	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $30.90	Professional		$9.12	$14.13	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.71 / $18.62	Facility		$6.76	$8.71	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $18.62	Professional		$7.76	$7.76	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $18.62	Professional		$7.24	$7.24	$18.62