Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $56.23 / $380.19	Facility		$13.18	$56.23	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $21.88	Professional		$10.96	$14.45	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $10.72	Professional		$8.51	$10.72	$10.72
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 / $17.38	Professional		$5.01	$9.77	$17.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $28.84	Professional		$12.59	$18.20	$28.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.90 / $97.72	Facility		$17.38	$38.90	$97.72
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 / $85.11	Facility		$13.49	$17.78	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $20.89	Professional		$10.00	$15.85	$20.89
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 $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $53.70	Facility		$14.45	$17.78	$53.70
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