Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $85.19 / $157.50	Facility		$13.20	$85.19	$157.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.71 / $18.93	Professional		$10.70	$14.71	$18.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $9.88 / $16.46	Professional		$5.76	$9.88	$16.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $53.17 / $96.00	Facility		$20.07	$53.17	$96.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.72 / $14.81	Professional		$5.00	$8.72	$14.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $24.69 / $115.42	Facility		$16.46	$24.69	$115.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $16.32 / $24.69	Professional		$12.35	$16.32	$24.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $17.95 / $17.95	Facility		$16.46	$17.95	$17.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $36.17 / $83.28	Facility		$11.51	$36.17	$83.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $12.09 / $27.90	Professional		$8.72	$12.09	$27.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $79.02 / $100.00	Facility		$62.00	$79.02	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $24.57 / $27.37	Professional		$14.81	$24.57	$27.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $16.46 / $29.91	Facility		$13.17	$16.46	$29.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $16.46 / $22.85	Professional		$14.81	$16.46	$22.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $165.41 / $226.36 / $502.68	Facility		$165.41	$226.36	$502.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $16.46 / $41.05	Facility		$13.17	$16.46	$41.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $12.67 / $23.79	Professional		$8.72	$12.67	$23.79
United Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $16.46 / $19.75	Facility		$9.66	$16.46	$19.75
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.42 / $13.45	Professional		$6.91	$9.42	$13.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $8.13 / $16.46	Professional		$6.42	$8.13	$16.46