Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $186.21 / $457.09	Facility		$23.99	$186.21	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $30.20	Professional		$10.00	$13.49	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.94 / $16.98	Professional		$5.89	$7.94	$16.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $44.67 / $83.18	Facility		$16.22	$44.67	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.32 / $10.00	Professional		$5.01	$8.32	$10.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.44 / $218.78	Facility		$13.49	$23.44	$218.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.49 / $23.99	Professional		$10.47	$15.49	$23.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.85 / $15.85	Facility		$15.14	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $79.43	Facility		$14.79	$33.11	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.59 / $27.54	Professional		$8.51	$12.59	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $100.00	Facility		$75.86	$75.86	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $30.20	Professional		$12.88	$19.50	$30.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $77.62 / $338.84	Facility		$11.48	$77.62	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $30.20	Professional		$8.91	$13.80	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.59 / $12.59	Professional		$11.22	$12.59	$12.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $977.24 / $1,412.54	Facility		$851.14	$977.24	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.14 / $43.65	Facility		$11.48	$15.14	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.49 / $26.30	Professional		$8.51	$13.49	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.00 / $15.14	Facility		$5.37	$10.00	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $15.14	Professional		$9.12	$12.30	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $15.14	Professional		$5.89	$5.89	$15.14