Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $75.86 / $218.78	Facility		$16.22	$75.86	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $20.89	Professional		$8.91	$12.88	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $12.30	Professional		$6.92	$8.71	$12.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $45.71 / $85.11	Facility		$16.98	$45.71	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $14.45	Professional		$5.01	$7.94	$14.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $21.38 / $87.10	Facility		$13.18	$21.38	$87.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $22.91	Professional		$10.00	$14.79	$22.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $45.71 / $45.71	Facility		$14.45	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $31.62 / $75.86	Facility		$14.13	$31.62	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $23.99	Professional		$7.59	$10.23	$23.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.38 / $138.04	Facility		$11.22	$17.38	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $19.95	Professional		$7.94	$12.88	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $12.02	Professional		$10.72	$12.02	$12.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,570.40 / $2,691.53	Facility		$977.24	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.45 / $41.69	Facility		$11.48	$14.45	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.47 / $23.99	Professional		$8.13	$10.47	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $8.71 / $14.45	Facility		$5.13	$8.71	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.51 / $12.30	Professional		$6.03	$8.51	$12.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $14.45	Professional		$5.62	$5.62	$14.45