Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $107.15 / $323.59	Facility		$18.20	$107.15	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $33.11	Professional		$12.02	$16.98	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $21.88	Professional		$8.71	$10.96	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $61.66 / $109.65	Facility		$24.55	$61.66	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.00 / $16.22	Professional		$5.01	$10.00	$16.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $30.20 / $165.96	Facility		$16.60	$30.20	$165.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.62 / $28.84	Professional		$12.59	$18.62	$28.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.88 / $33.88	Facility		$18.20	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $39.81 / $97.72	Facility		$17.78	$39.81	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $30.90	Professional		$9.55	$12.88	$30.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54,954.09 / $54,954.09 / $54,954.09	Facility		$54,954.09	$54,954.09	$54,954.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $27.54	Professional		$15.49	$17.38	$27.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.95 / $245.47	Facility		$13.80	$19.95	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $33.11	Professional		$10.00	$16.98	$33.11
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 $134.90 / $380.19 / $416.87	Facility		$134.90	$380.19	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.20 / $53.70	Facility		$14.45	$18.20	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $30.90	Professional		$10.23	$13.18	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.96 / $18.20	Facility		$6.46	$10.96	$18.20
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 $7.08 / $7.08 / $18.20	Professional		$7.08	$7.08	$18.20