Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $51.89 / $396.00	Facility		$40.00	$51.89	$396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $30.75 / $55.00	Professional		$18.93	$30.75	$55.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.00 / $96.00 / $96.00	Professional	25	$96.00	$96.00	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $20.58 / $27.74	Professional		$17.17	$20.58	$27.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $21.15 / $31.37	Professional		$16.37	$21.15	$31.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $24.07 / $37.31	Professional		$17.00	$24.07	$37.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $95.06 / $95.06	Facility		$24.39	$95.06	$95.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $29.42 / $65.91	Professional		$19.00	$29.42	$65.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $120.84 / $1,200.00	Facility		$113.54	$120.84	$1,200.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.04 / $232.58 / $408.25	Professional		$154.04	$232.58	$408.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $36.84 / $58.09	Facility		$24.13	$36.84	$58.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $36.58 / $50.65	Professional		$27.90	$36.58	$50.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $112.26 / $112.26 / $112.26	Facility		$112.26	$112.26	$112.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $36.31 / $45.95	Professional		$26.48	$36.31	$45.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $36.85 / $58.01	Facility		$24.32	$36.85	$58.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $29.00 / $58.86	Professional		$20.00	$29.00	$58.86
United Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $34.15 / $48.19	Professional		$21.49	$34.15	$48.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $28.30 / $38.84	Professional		$24.02	$28.30	$38.84