Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $18.18 / $917.00	Facility		$9.27	$18.18	$917.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4.63 / $7.04 / $21.09	Facility	52	$4.63	$7.04	$21.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $15.57 / $44.71	Professional		$11.59	$15.57	$44.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $14.38 / $17.38	Professional		$13.37	$14.38	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $40.27 / $76.86	Facility		$17.26	$40.27	$76.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.86 / $22.09	Professional		$10.11	$12.86	$22.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $18.71 / $35.79	Professional		$13.37	$18.71	$35.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $14.06 / $14.06	Facility		$13.54	$14.06	$14.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $21.45 / $199.33	Facility		$14.93	$21.45	$199.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $19.41 / $31.94	Professional		$14.10	$19.41	$31.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33.28 / $101.46 / $133.44	Facility		$33.28	$101.46	$133.44
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $26.62 / $52.73 / $55.41	Facility	52	$26.62	$52.73	$55.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $250.96 / $250.96 / $250.96	Professional		$250.96	$250.96	$250.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $17.84 / $32.04	Facility		$13.22	$17.84	$32.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $19.03 / $31.99	Professional		$15.63	$19.03	$31.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $16.42 / $26.09	Professional		$13.37	$16.42	$26.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $17.82 / $32.85	Facility		$13.23	$17.82	$32.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $19.91 / $32.76	Professional		$14.28	$19.91	$32.76
United Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $15.20 / $25.18	Professional		$11.37	$15.20	$25.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $13.37 / $18.47	Professional		$11.60	$13.37	$18.47