Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $78.15 / $216.00	Facility		$16.77	$78.15	$216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $14.60 / $20.12	Professional		$10.06	$14.60	$20.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.06 / $11.65	Professional		$7.55	$10.06	$11.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $53.70 / $98.17	Facility		$19.96	$53.70	$98.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.89 / $14.93	Professional		$5.00	$8.89	$14.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $26.83 / $100.46	Facility		$15.93	$26.83	$100.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $17.18 / $28.51	Professional		$12.58	$17.18	$28.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $17.61 / $17.61	Facility		$16.77	$17.61	$17.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $36.84 / $84.63	Facility		$11.72	$36.84	$84.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $12.12 / $35.68	Professional		$8.89	$12.12	$35.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.32 / $80.19 / $80.19	Facility		$54.32	$80.19	$80.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $24.56 / $27.90	Professional		$15.09	$24.56	$27.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $16.77 / $34.22	Facility		$13.42	$16.77	$34.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $16.77 / $27.00	Professional		$15.09	$16.77	$27.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $132.43 / $822.41	Facility		$96.77	$132.43	$822.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $16.77 / $42.06	Facility		$13.42	$16.77	$42.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $12.91 / $23.23	Professional		$8.89	$12.91	$23.23
United Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $12.66 / $20.96	Facility		$9.22	$12.66	$20.96
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $9.69 / $16.63	Professional		$7.04	$9.69	$16.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $8.27 / $16.77	Professional		$6.54	$8.27	$16.77