Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $56.23 / $275.42	Facility		$12.88	$56.23	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $21.88	Professional		$10.00	$13.80	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.51 / $16.98	Professional		$7.24	$8.51	$16.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $53.70 / $93.33	Facility		$20.42	$53.70	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.33 / $11.75	Professional		$5.01	$9.33	$11.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.70 / $81.28	Facility		$15.49	$25.70	$81.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.98 / $16.98	Facility		$12.88	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $35.48 / $77.62	Facility		$13.80	$35.48	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $28.18	Professional		$8.71	$12.02	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $30.20 / $331.13	Facility		$11.48	$30.20	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.95	Professional		$10.00	$12.88	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $14.45	Professional		$12.88	$14.45	$14.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,454.71 / $3,235.94	Facility		$354.81	$2,454.71	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.98 / $47.86	Facility		$12.59	$16.98	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.75 / $26.30	Professional		$8.71	$11.75	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $9.33 / $16.98	Facility		$6.17	$9.33	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.32 / $12.02	Professional		$7.24	$8.32	$12.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $16.98	Professional		$6.61	$6.61	$16.98