Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.84 / $912.01	Facility		$14.13	$28.84	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $109.65	Professional		$16.98	$28.84	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $23.99	Professional		$15.85	$19.05	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $74.13 / $138.04	Facility		$32.36	$74.13	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $28.84	Professional		$14.13	$17.38	$28.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $66.07	Professional		$18.20	$25.70	$66.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.20 / $18.20	Facility		$17.38	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $37.15 / $39.81	Facility		$7.94	$37.15	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $57.54	Professional		$19.50	$33.11	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $30.20 / $58.88	Facility		$17.38	$30.20	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $60.26	Professional		$15.85	$25.12	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $33.11	Professional		$15.14	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $32.36 / $42.66	Professional		$17.78	$32.36	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.90 / $57.54	Facility		$17.78	$30.90	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $51.29	Professional		$19.50	$33.11	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $44.67	Professional		$20.42	$28.18	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.78 / $21.88	Professional		$17.38	$17.78	$21.88