Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $102.33 / $363.08	Facility		$19.50	$102.33	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $22.91	Professional		$12.88	$17.38	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $16.60	Professional		$8.91	$11.75	$16.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $60.26 / $114.82	Facility		$21.38	$60.26	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.72 / $15.85	Professional		$5.01	$10.72	$15.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $29.51 / $131.83	Facility		$14.79	$29.51	$131.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $31.62	Professional		$13.80	$19.50	$31.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.50	Facility		$19.05	$19.05	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $40.74 / $100.00	Facility		$19.05	$40.74	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $33.11	Professional		$10.47	$14.13	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $32.36	Professional		$16.60	$18.62	$32.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $269.15	Facility		$14.79	$21.38	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $26.92	Professional		$10.96	$17.78	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $33.11	Professional		$14.79	$16.60	$33.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $933.25 / $933.25	Facility		$331.13	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.50 / $57.54	Facility		$15.85	$19.50	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $33.11	Professional		$10.96	$14.13	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $11.75 / $19.50	Facility		$7.08	$11.75	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $15.85	Professional		$8.32	$11.48	$15.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59