Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $48.98 / $93.33	Facility		$21.88	$48.98	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $57.54	Professional		$21.88	$25.70	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $32.36	Professional		$19.95	$23.44	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $38.90 / $74.13	Facility		$13.80	$38.90	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $25.70 / $51.29	Facility		$11.75	$25.70	$51.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $25.70 / $37.15	Professional		$11.75	$25.70	$37.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.12	Professional		$21.38	$21.38	$25.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $43.65 / $81.28	Facility		$21.88	$43.65	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $50.12	Professional		$22.91	$27.54	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $23.44	Professional		$20.89	$20.89	$23.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $56.23 / $58.88	Facility		$16.22	$56.23	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $27.54 / $72.44	Facility		$20.42	$27.54	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $23.44	Professional		$22.91	$22.91	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $25.12	Professional		$19.95	$25.12	$25.12