Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $398.11 / $398.11	Facility		$18.20	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $37.15	Professional		$19.95	$23.99	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $63.10	Facility		$21.38	$21.38	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $26.30	Professional		$13.49	$16.22	$26.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $58.88	Professional		$25.12	$42.66	$58.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.91 / $28.18	Facility		$22.39	$22.91	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $42.66	Professional		$18.20	$25.12	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $213.80	Professional		$162.18	$213.80	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.12 / $38.02	Facility		$19.95	$25.12	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $39.81	Professional		$19.05	$23.99	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $33.11	Professional		$19.50	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $33.11	Professional		$19.05	$22.91	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.12 / $37.15	Facility		$20.42	$25.12	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $50.12	Professional		$18.20	$25.70	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $40.74	Professional		$19.05	$25.70	$40.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $34.67	Professional		$19.50	$28.84	$34.67