Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $104.71 / $398.11	Facility		$17.78	$104.71	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $30.90	Professional		$14.13	$19.95	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $15.85	Professional		$10.96	$13.80	$15.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $70.79 / $128.82	Facility		$25.12	$70.79	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $20.42	Professional		$5.01	$12.59	$20.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $34.67 / $53.70	Facility		$21.88	$34.67	$53.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.91 / $36.31	Professional		$13.80	$22.91	$36.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $32.36	Facility		$22.91	$32.36	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $117.49	Facility		$22.39	$50.12	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $38.90	Professional		$12.02	$16.22	$38.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $213.80	Facility		$17.38	$22.91	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $30.90	Professional		$12.88	$20.42	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $19.05	Professional		$17.38	$19.05	$19.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $489.78 / $537.03	Facility		$234.42	$489.78	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $69.18	Facility		$17.78	$22.91	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $38.90	Professional		$12.02	$16.60	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.80 / $22.91	Facility		$8.32	$13.80	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $18.62	Professional		$9.55	$13.18	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $22.91	Professional		$8.91	$8.91	$22.91