Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $69.18 / $165.96	Facility		$18.20	$69.18	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $30.20	Professional		$14.13	$18.20	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $20.42	Professional		$11.48	$15.14	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $77.62 / $128.82	Facility		$29.51	$77.62	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $13.18 / $23.99	Professional		$5.01	$13.18	$23.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $32.36 / $158.49	Facility		$22.39	$32.36	$158.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $38.90	Professional		$16.98	$23.99	$38.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $41.69 / $102.33	Facility		$19.50	$41.69	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.88 / $36.31	Professional		$11.22	$12.88	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $186.21	Facility		$114.82	$114.82	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.99 / $114.82	Facility		$17.38	$23.99	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $28.18	Professional		$14.13	$19.95	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $20.42	Professional		$18.20	$20.42	$20.42
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 $17.38 / $23.99 / $67.61	Facility		$17.38	$23.99	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.18 / $36.31	Professional		$11.48	$13.18	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.30 / $23.99	Facility		$8.71	$12.30	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.72 / $16.98	Professional		$10.23	$10.72	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $23.99	Professional		$9.33	$9.33	$23.99