Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $52.48 / $1,023.29	Professional		$14.13	$52.48	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $34.67	Professional		$10.96	$14.13	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.12 / $29.51	Facility		$22.91	$25.12	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $29.51 / $30.90	Professional		$12.02	$29.51	$30.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $37.15	Professional		$20.89	$30.90	$37.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $21.88 / $169.82	Facility		$20.89	$21.88	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $26.92 / $60.26	Professional		$11.48	$26.92	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $489.78	Professional		$288.40	$288.40	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.90 / $72.44	Facility		$19.50	$30.90	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $30.20 / $501.19	Professional		$12.88	$30.20	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $48.98	Professional		$20.89	$37.15	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $29.51 / $70.79	Facility		$16.98	$29.51	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $26.92 / $69.18	Professional		$11.48	$26.92	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.55 / $53.70	Professional		$13.49	$24.55	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $22.91	Professional		$8.71	$8.71	$22.91