Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $53.70 / $134.90	Facility		$10.72	$53.70	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $20.89	Professional		$8.91	$12.30	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.51 / $12.02	Professional		$4.79	$8.51	$12.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $43.65 / $81.28	Facility		$15.49	$43.65	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.76 / $14.13	Professional		$5.01	$7.76	$14.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $21.38 / $81.28	Facility		$13.18	$21.38	$81.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $22.91	Professional		$10.00	$14.13	$22.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $30.90 / $75.86	Facility		$13.80	$30.90	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $23.99	Professional		$7.59	$10.23	$23.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $100.00	Facility		$69.18	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $21.38	Professional		$12.02	$13.49	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $14.13 / $87.10	Facility		$10.72	$14.13	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.30 / $20.89	Professional		$7.94	$12.30	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $12.02	Professional		$10.72	$12.02	$12.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $91.20	Facility		$50.12	$50.12	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $14.13 / $41.69	Facility		$11.22	$14.13	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $23.99	Professional		$8.13	$10.23	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $9.55 / $14.13	Facility		$5.13	$9.55	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.32 / $13.80	Professional		$6.03	$8.32	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $14.13	Professional		$5.50	$5.50	$14.13