Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $63.10 / $177.83	Facility		$17.38	$63.10	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.20 / $34.67	Professional		$13.80	$18.20	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $25.70	Professional		$10.23	$12.88	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $52.48 / $112.20	Facility		$10.23	$52.48	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.75 / $21.38	Professional		$5.01	$11.75	$21.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $31.62 / $100.00	Facility		$19.05	$31.62	$100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $33.11	Professional		$14.79	$21.38	$33.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $46.77 / $107.15	Facility		$19.05	$46.77	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $35.48	Professional		$11.22	$15.14	$35.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $32.36	Professional		$18.20	$20.42	$32.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.44 / $162.18	Facility		$15.85	$23.44	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $33.11	Professional		$12.02	$19.05	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $17.78	Professional		$15.85	$17.78	$17.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,548.82 / $1,698.24	Facility		$549.54	$1,548.82	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.38 / $61.66	Facility		$16.60	$21.38	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $35.48	Professional		$11.22	$15.14	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.88 / $21.38	Facility		$7.59	$12.88	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $17.38	Professional		$8.91	$12.59	$17.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $21.38	Professional		$8.32	$8.32	$21.38