Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $72.44 / $151.36	Facility		$13.80	$72.44	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $20.89	Professional		$11.75	$15.85	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.72 / $17.78	Professional		$8.13	$10.72	$17.78
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 / $10.00 / $17.38	Professional		$5.01	$10.00	$17.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.30 / $120.23	Facility		$13.49	$26.30	$120.23
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 $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $37.15 / $91.20	Facility		$17.38	$37.15	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $38.02	Professional		$9.55	$13.18	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $93.33 / $93.33	Facility		$87.10	$93.33	$93.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $30.20	Professional		$15.49	$17.38	$30.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.20 / $102.33	Facility		$13.80	$18.20	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $23.44	Professional		$10.00	$16.22	$23.44
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 $169.82 / $512.86 / $537.03	Facility		$169.82	$512.86	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $52.48	Facility		$14.45	$17.78	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $30.20	Professional		$10.00	$13.18	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.72 / $17.78	Facility		$6.46	$10.72	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $14.79	Professional		$7.59	$10.47	$14.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $17.78	Professional		$7.08	$7.08	$17.78