Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $82.22 / $293.89	Facility		$13.21	$82.22	$293.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.25 / $21.76	Professional		$9.27	$12.25	$21.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $8.27	Professional		$7.94	$7.94	$8.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $31.45 / $84.07	Facility		$16.55	$31.45	$84.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Professional		$16.55	$16.55	$16.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $24.00 / $71.81	Facility		$15.29	$24.00	$71.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $16.57 / $26.65	Professional		$11.59	$16.57	$26.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Facility		$16.55	$16.55	$16.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $27.79 / $70.69	Facility		$11.55	$27.79	$70.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.55 / $25.30	Professional		$8.02	$13.55	$25.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $78.61 / $78.61	Facility		$50.00	$78.61	$78.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $19.16 / $27.37	Professional		$14.03	$19.16	$27.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $16.55 / $161.69	Facility		$12.06	$16.55	$161.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $16.55 / $22.34	Professional		$14.85	$16.55	$22.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $880.26 / $1,430.48 / $2,207.00	Facility		$880.26	$1,430.48	$2,207.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $16.55 / $38.32	Facility		$12.06	$16.55	$38.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.55 / $17.18	Professional		$8.02	$13.55	$17.18
United Facility/Professional Facility Modifier Low / Median / High Price $7.04 / $16.55 / $19.86	Facility		$7.04	$16.55	$19.86
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $14.00 / $16.55	Professional		$10.06	$14.00	$16.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $6.62 / $16.55	Professional		$6.62	$6.62	$16.55