Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $39.34 / $917.00	Facility		$11.31	$39.34	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $19.32 / $68.00	Professional		$11.39	$19.32	$68.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $20.07 / $80.00	Professional	25	$20.07	$20.07	$80.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $13.94 / $18.82	Professional		$12.11	$13.94	$18.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $48.27 / $89.61	Facility		$18.61	$48.27	$89.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.06 / $22.68	Professional		$10.19	$13.06	$22.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $58.05 / $58.05 / $88.53	Facility		$58.05	$58.05	$88.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $17.71 / $39.65	Professional		$13.71	$17.71	$39.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $13.89 / $14.91	Facility		$13.89	$13.89	$14.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $22.98 / $32.90	Facility		$19.00	$22.98	$32.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $22.22 / $41.40	Professional		$15.23	$22.22	$41.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $79.97 / $101.68	Facility		$31.28	$79.97	$101.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $358.00 / $358.00	Professional		$28.14	$358.00	$358.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $22.71 / $42.80	Facility		$13.33	$22.71	$42.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $20.87 / $40.10	Professional		$14.86	$20.87	$40.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $661.47 / $1,113.54 / $6,248.74	Facility		$661.47	$1,113.54	$6,248.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $13.94 / $26.29	Professional		$6.64	$13.94	$26.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $22.47 / $40.42	Facility		$13.34	$22.47	$40.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $22.32 / $36.61	Professional		$15.04	$22.32	$36.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $18.68 / $31.64	Professional		$12.99	$18.68	$31.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $13.44 / $18.82	Professional		$11.87	$13.44	$18.82