Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $120.23	Facility		$16.98	$42.66	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $31.62	Professional		$14.13	$18.20	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $74.13 / $123.03	Facility		$28.18	$74.13	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $30.90	Professional		$5.01	$12.59	$30.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $123.03	Facility		$20.42	$33.11	$123.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $79.43	Facility		$22.91	$22.91	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $45.71 / $120.23	Facility		$22.39	$45.71	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $44.67	Professional		$11.75	$15.85	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $27.54 / $66.07	Facility		$17.38	$27.54	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $18.20 / $28.18	Professional		$7.94	$18.20	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $22.91	Professional		$19.05	$19.05	$22.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $48.98	Professional		$22.39	$24.55	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $32.36 / $69.18	Facility		$17.38	$32.36	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.42 / $42.66	Professional		$11.48	$20.42	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.55 / $22.91	Facility		$8.13	$9.55	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $17.38	Professional		$9.55	$11.75	$17.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.05 / $22.91	Professional		$8.91	$19.05	$22.91