Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $33.40 / $97.56	Facility		$13.25	$33.40	$97.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $15.61 / $30.44	Professional		$10.74	$15.61	$30.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.74 / $12.43	Professional		$8.59	$10.74	$12.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $59.07 / $107.22	Facility		$22.38	$59.07	$107.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.49 / $15.63	Professional		$5.00	$9.49	$15.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $29.54 / $116.87	Facility		$17.01	$29.54	$116.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $20.63	Facility		$17.89	$17.89	$20.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $39.34 / $89.89	Facility		$12.51	$39.34	$89.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $13.31 / $27.36	Professional		$9.49	$13.31	$27.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.90 / $140.00 / $140.00	Facility		$96.90	$140.00	$140.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $17.89 / $23.27	Facility		$14.32	$17.89	$23.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $17.89 / $20.87	Professional		$16.80	$17.89	$20.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.41 / $132.49 / $680.86	Facility		$102.41	$132.49	$680.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $17.89 / $49.45	Facility		$14.32	$17.89	$49.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $13.92 / $23.23	Professional		$9.49	$13.92	$23.23
United Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $13.24 / $22.38	Facility		$6.27	$13.24	$22.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.24 / $14.62	Professional		$7.52	$10.24	$14.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $8.84 / $17.89	Professional		$6.98	$8.84	$17.89