Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $95.88 / $191.44	Facility		$17.77	$95.88	$191.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $18.37 / $21.23	Professional		$12.74	$18.37	$21.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $12.74 / $14.74	Professional		$7.43	$12.74	$14.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $57.53 / $114.64	Facility		$18.05	$57.53	$114.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.25 / $20.81	Professional		$5.00	$11.25	$20.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $31.40 / $117.22	Facility		$19.61	$31.40	$117.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $19.11 / $31.40	Professional		$14.86	$19.11	$31.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Facility		$21.23	$21.23	$21.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $46.64 / $97.22	Facility		$14.83	$46.64	$97.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.52 / $35.56	Professional		$11.25	$15.52	$35.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $101.43 / $101.43	Facility		$50.00	$101.43	$101.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $31.18 / $35.42	Professional		$19.11	$31.18	$35.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $21.23 / $33.68	Facility		$15.92	$21.23	$33.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $21.23 / $27.66	Professional		$19.11	$21.23	$27.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $546.88 / $747.98 / $1,722.78	Facility		$546.88	$747.98	$1,722.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $21.23 / $50.70	Facility		$16.13	$21.23	$50.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.32 / $30.67	Professional		$11.25	$16.32	$30.67
United Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $8.92 / $21.23	Facility		$7.64	$8.92	$21.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.16 / $14.22	Professional		$8.92	$12.16	$14.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $10.48 / $21.23	Professional		$8.27	$10.48	$21.23