Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.11 / $194.98	Facility		$12.88	$33.11	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $25.70	Professional		$10.96	$15.14	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $61.66 / $107.15	Facility		$24.55	$61.66	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.77 / $16.22	Professional		$5.01	$9.77	$16.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.92 / $120.23	Facility		$16.60	$26.92	$120.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $28.84	Professional		$12.59	$17.78	$28.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $20.42	Facility		$17.78	$17.78	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.90 / $95.50	Facility		$17.38	$38.90	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $30.20	Professional		$9.55	$12.88	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.78 / $52.48	Facility		$13.49	$17.78	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $23.99	Professional		$10.00	$16.22	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $15.14	Professional		$13.49	$15.14	$15.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $52.48	Facility		$14.45	$17.78	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $29.51	Professional		$10.00	$13.80	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.02 / $17.78	Facility		$6.46	$12.02	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $15.49	Professional		$7.59	$10.47	$15.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $17.78	Professional		$6.92	$6.92	$17.78