Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $31.14 / $917.00	Facility		$15.86	$31.14	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $25.83 / $45.01	Professional		$19.46	$25.83	$45.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $23.30 / $28.18	Professional		$21.48	$23.30	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $25.55 / $38.38	Professional		$19.70	$25.55	$38.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $33.32 / $62.08	Professional		$24.88	$33.32	$62.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $22.90 / $23.46	Facility		$22.90	$22.90	$23.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $37.08 / $37.08	Facility		$37.08	$37.08	$37.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $33.22 / $53.54	Professional		$24.19	$33.22	$53.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $116.57 / $162.35	Facility		$56.49	$116.57	$162.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $384.71 / $384.71 / $384.71	Professional		$384.71	$384.71	$384.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $30.17 / $54.57	Facility		$22.10	$30.17	$54.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $34.36 / $44.79	Professional		$26.42	$34.36	$44.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $27.76 / $44.44	Professional		$23.10	$27.76	$44.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $30.11 / $55.00	Facility		$22.10	$30.11	$55.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $33.79 / $55.92	Professional		$24.33	$33.79	$55.92
United Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.97 / $43.25	Professional		$19.88	$26.97	$43.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $22.62 / $31.20	Professional		$19.60	$22.62	$31.20