Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $39.81 / $107.15	Facility		$15.14	$39.81	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $53.70	Professional		$12.88	$18.20	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $23.99	Professional		$8.91	$12.02	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $67.61 / $114.82	Facility		$26.92	$67.61	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.96 / $27.54	Professional		$5.01	$10.96	$27.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $44.67	Professional		$19.05	$27.54	$44.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $19.95	Facility		$18.20	$18.20	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $44.67 / $107.15	Facility		$22.39	$44.67	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $44.67	Professional		$11.48	$15.49	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.30 / $79.43	Facility		$15.14	$26.30	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $34.67	Professional		$10.72	$18.20	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $20.42	Professional		$16.98	$16.98	$20.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $426.58 / $478.63	Facility		$208.93	$426.58	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $42.66	Professional		$19.50	$21.88	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $31.62 / $66.07	Facility		$15.85	$31.62	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.62 / $41.69	Professional		$11.48	$18.62	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.51 / $19.95	Facility		$7.24	$8.51	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $16.98	Professional		$8.51	$11.75	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $16.98 / $19.95	Professional		$7.76	$16.98	$19.95