Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $57.54	Professional		$15.14	$25.70	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.20 / $27.54	Professional		$16.60	$18.20	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $29.51 / $72.44	Facility		$9.77	$29.51	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.49 / $28.84	Professional		$14.79	$15.49	$28.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $77.62	Professional		$16.60	$26.92	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $42.66	Professional		$15.49	$21.88	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $89.13 / $389.05	Professional		$19.05	$89.13	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $57.54	Facility		$14.13	$20.42	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $36.31	Professional		$14.13	$19.50	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.49 / $18.20	Professional		$14.13	$15.49	$18.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $35.48	Professional		$15.49	$19.05	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.38 / $60.26	Facility		$14.45	$21.38	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $41.69	Professional		$16.60	$23.44	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $38.02	Professional		$14.79	$19.50	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $19.50	Professional		$15.14	$15.49	$19.50