Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $18.87 / $344.00	Facility		$8.96	$18.87	$344.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $58.74 / $74.62 / $327.69	Facility	CQ	$58.74	$74.62	$327.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.57 / $15.84	Professional		$6.77	$9.57	$15.84
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $14.56 / $14.56 / $14.56	Professional	CQ	$14.56	$14.56	$14.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $34.72 / $68.61	Facility		$14.19	$34.72	$68.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.51 / $11.51	Professional		$10.19	$11.51	$11.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $15.54	Facility		$15.54	$15.54	$15.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $15.61 / $35.00	Professional		$13.51	$15.61	$35.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $14.35 / $14.35	Facility		$14.04	$14.35	$14.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $15.39 / $102.90	Professional		$8.69	$15.39	$102.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.81 / $80.00 / $100.00	Facility		$52.81	$80.00	$100.00
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $26.96 / $55.33 / $62.22	Facility	CQ	$26.96	$55.33	$62.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $89.91 / $117.68	Professional		$16.03	$89.91	$117.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $13.98 / $22.42	Facility		$9.15	$13.98	$22.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $17.39 / $25.04	Professional		$10.46	$17.39	$25.04
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $9.46 / $9.46 / $9.46	Professional	CQ	$9.46	$9.46	$9.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $144.97 / $211.00	Facility		$69.84	$144.97	$211.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.75 / $27.98	Professional		$11.48	$14.75	$27.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $18.00 / $105.33	Professional		$9.11	$18.00	$105.33
United Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $11.95 / $15.09	Professional		$10.15	$11.95	$15.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $13.51 / $80.00	Professional		$11.87	$13.51	$80.00