Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $23.99 / $281.84	Facility		$8.91	$23.99	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $26.30	Professional		$7.94	$12.02	$26.30
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $10.00 / $20.42 / $42.66	Professional	CQ	$10.00	$20.42	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.48 / $18.62	Professional		$9.77	$11.48	$18.62
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $7.76 / $13.80 / $22.91	Professional	CQ	$7.76	$13.80	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $38.90 / $74.13	Facility		$16.22	$38.90	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $12.02	Professional		$10.72	$12.02	$12.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $42.66 / $120.23	Facility		$16.22	$42.66	$120.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $33.11	Professional		$12.88	$17.38	$33.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $75.86	Facility		$54.95	$64.57	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $25.12	Professional		$9.77	$12.59	$25.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $100.00	Facility		$89.13	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.70 / $120.23	Professional		$14.45	$25.70	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.49 / $33.11	Facility		$9.12	$15.49	$33.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $28.18	Professional		$7.94	$12.88	$28.18
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $9.77 / $20.42 / $32.36	Professional	CQ	$9.77	$20.42	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.36 / $33.11	Professional		$13.18	$32.36	$33.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $120.23 / $125.89	Facility		$114.82	$120.23	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $52.48	Professional		$13.18	$16.22	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $15.85 / $31.62	Facility		$9.33	$15.85	$31.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $25.12	Professional		$9.77	$12.59	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $15.85	Facility		$11.48	$11.48	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.18 / $18.20	Professional		$11.48	$13.18	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.45 / $14.45	Professional		$13.80	$14.45	$14.45