Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $75.86 / $158.49	Facility		$13.80	$75.86	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $32.36	Professional		$10.96	$15.14	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $18.20	Professional		$9.12	$12.59	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $61.66 / $107.15	Facility		$24.55	$61.66	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.00 / $17.38	Professional		$5.01	$10.00	$17.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.92 / $120.23	Facility		$16.60	$26.92	$120.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $28.84	Professional		$12.59	$18.20	$28.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $37.15 / $91.20	Facility		$16.22	$37.15	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $38.02	Professional		$9.55	$12.88	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.20 / $102.33	Facility		$13.80	$18.20	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $26.92	Professional		$10.00	$16.22	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $15.14	Professional		$13.49	$15.14	$15.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $398.11 / $446.68	Facility		$144.54	$398.11	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.20 / $52.48	Facility		$14.45	$18.20	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $30.90	Professional		$10.23	$13.18	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.96 / $18.20	Facility		$6.46	$10.96	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $15.49	Professional		$7.59	$10.72	$15.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $18.20	Professional		$7.08	$7.08	$18.20