Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $85.11 / $162.18	Facility		$19.50	$85.11	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $34.67	Professional		$12.59	$17.38	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.77 / $16.60	Professional		$6.46	$9.77	$16.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.07 / $114.82	Facility		$25.70	$66.07	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.72 / $12.02	Professional		$5.01	$10.72	$12.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.20 / $125.89	Facility		$17.78	$30.20	$125.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.30 / $33.11	Professional		$13.49	$26.30	$33.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $20.42	Facility		$19.50	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $97.72	Facility		$17.38	$39.81	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $33.11	Professional		$10.23	$13.80	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $29.51	Professional		$16.60	$18.62	$29.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $23.44 / $117.49	Facility		$14.79	$23.44	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.38 / $33.11	Professional		$11.48	$17.38	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $16.22	Professional		$14.45	$16.22	$16.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $426.58 / $467.74	Facility		$151.36	$426.58	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.50 / $56.23	Facility		$15.49	$19.50	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $33.11	Professional		$10.96	$14.13	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $11.48 / $19.50	Facility		$6.92	$11.48	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $26.92	Professional		$8.13	$11.48	$26.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $19.50	Professional		$7.59	$7.59	$19.50