Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $100.00 / $208.93	Facility		$19.50	$100.00	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $40.74	Professional		$16.60	$21.88	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.14 / $38.02	Professional		$8.51	$15.14	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $77.62 / $141.25	Facility		$27.54	$77.62	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.13 / $20.42	Professional		$5.01	$14.13	$20.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $169.82	Facility		$19.05	$38.02	$169.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $46.77	Professional		$19.05	$28.18	$46.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $56.23 / $138.04	Facility		$25.12	$56.23	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $43.65	Professional		$13.49	$18.62	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $38.90	Professional		$21.88	$24.55	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $32.36 / $199.53	Facility		$19.05	$32.36	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $38.90	Professional		$15.14	$22.91	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.38 / $21.38	Professional		$19.05	$21.38	$21.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $213.80 / $234.42	Facility		$102.33	$213.80	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.70 / $74.13	Facility		$19.95	$25.70	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $42.66	Professional		$14.45	$19.50	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $16.98 / $25.70	Facility		$9.12	$16.98	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $25.12	Professional		$10.72	$14.79	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $25.70	Professional		$10.00	$10.00	$25.70