Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $87.64 / $492.48	Facility		$16.28	$87.64	$492.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $16.28 / $128.52	Professional		$12.85	$16.28	$128.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $12.85 / $12.85	Professional		$12.85	$12.85	$12.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $69.27 / $128.31	Facility		$26.44	$69.27	$128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.78 / $29.99	Professional		$5.00	$11.78	$29.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $32.13 / $131.34	Facility		$21.42	$32.13	$131.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $19.28 / $29.99	Professional		$14.99	$19.28	$29.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $64.26 / $64.26	Facility		$21.42	$64.26	$64.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $47.35 / $100.29	Facility		$24.55	$47.35	$100.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $15.93 / $47.45	Professional		$12.15	$15.93	$47.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $301.72 / $301.72	Facility		$61.98	$301.72	$301.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $386.73 / $397.33	Professional		$160.65	$386.73	$397.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $28.92 / $53.69	Facility		$17.16	$28.92	$53.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $21.42 / $32.13	Professional		$21.42	$21.42	$32.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.12 / $2,234.17 / $5,424.38	Facility		$1,640.12	$2,234.17	$5,424.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $25.70 / $48.20	Professional		$13.92	$25.70	$48.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $34.39 / $90.09	Facility		$17.35	$34.39	$90.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $21.32 / $43.96	Professional		$12.33	$21.32	$43.96
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $17.87 / $42.48	Professional		$12.85	$17.87	$42.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $12.13 / $21.42	Professional		$11.10	$12.13	$21.42