Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $114.82 / $316.23	Facility		$13.18	$114.82	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $19.95	Professional		$10.00	$13.80	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.32 / $11.75	Professional		$7.08	$8.32	$11.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $51.29 / $93.33	Facility		$18.62	$51.29	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.55 / $15.49	Professional		$5.01	$9.55	$15.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.92 / $263.03	Facility		$15.49	$26.92	$263.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $17.38	Facility		$16.60	$16.60	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $77.62	Facility		$11.22	$16.60	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.80 / $30.20	Professional		$7.76	$13.80	$30.20
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 $13.18 / $33.88 / $281.84	Facility		$13.18	$33.88	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $19.95	Professional		$10.00	$14.13	$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 $851.14 / $977.24 / $1,412.54	Facility		$851.14	$977.24	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.38 / $42.66	Facility		$12.30	$17.38	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.18 / $28.84	Professional		$7.76	$13.18	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $8.13 / $17.38	Facility		$6.17	$8.13	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $10.47	Professional		$7.24	$7.24	$10.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $17.38	Professional		$6.76	$6.76	$17.38