Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $79.43 / $234.42	Facility		$16.98	$79.43	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $16.98	Professional		$8.91	$12.88	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.59 / $14.45	Professional		$6.92	$7.59	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $43.65 / $85.11	Facility		$15.85	$43.65	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $14.45	Professional		$5.01	$7.94	$14.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.50 / $26.92	Facility		$10.96	$19.50	$26.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $23.44	Professional		$10.23	$15.14	$23.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.42 / $20.42	Facility		$14.45	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $31.62 / $77.62	Facility		$14.13	$31.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $24.55	Professional		$7.76	$10.47	$24.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $100.00	Facility		$69.18	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $21.88	Professional		$12.30	$13.80	$21.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.95 / $208.93	Facility		$10.96	$19.95	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $20.42	Professional		$7.94	$12.88	$20.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $12.30	Professional		$10.96	$12.30	$12.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,454.71	Facility		$1,621.81	$2,187.76	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $42.66	Facility		$11.75	$14.45	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.72 / $24.55	Professional		$8.32	$10.72	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $9.77 / $14.45	Facility		$5.25	$9.77	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.51 / $12.59	Professional		$6.17	$8.51	$12.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $14.45	Professional		$5.62	$5.62	$14.45