Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $52.48 / $112.20	Facility		$9.77	$52.48	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.75 / $19.05	Professional		$7.94	$11.75	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $13.18	Professional		$6.17	$7.76	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $44.67 / $79.43	Facility		$17.78	$44.67	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $12.02	Professional		$5.01	$7.24	$12.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.50 / $79.43	Facility		$12.02	$19.50	$79.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.80 / $21.88	Professional		$9.12	$13.80	$21.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.80 / $13.80	Facility		$13.18	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.18 / $70.79	Facility		$12.59	$28.18	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.33 / $21.88	Professional		$6.92	$9.33	$21.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $19.50	Professional		$10.96	$12.30	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $13.18 / $91.20	Facility		$9.77	$13.18	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.75 / $19.50	Professional		$7.08	$11.75	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.96 / $10.96	Professional		$9.77	$10.96	$10.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $977.24 / $1,071.52	Facility		$346.74	$977.24	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $13.18 / $38.02	Facility		$10.47	$13.18	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.55 / $21.88	Professional		$7.41	$9.55	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $7.76 / $13.18	Facility		$4.68	$7.76	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.59 / $11.22	Professional		$5.50	$7.59	$11.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13