Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $56.07 / $200.00	Facility		$11.10	$56.07	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $12.53 / $18.57	Professional		$8.40	$12.53	$18.57
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $12.70 / $12.70 / $17.45	Professional	CQ	$12.70	$12.70	$17.45
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.02 / $17.02 / $17.02	Professional	CQ	$17.02	$17.02	$17.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $46.10 / $92.58	Facility		$19.71	$46.10	$92.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $14.19 / $14.19	Professional		$12.57	$14.19	$14.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $40.11 / $45.94	Facility		$17.02	$40.11	$45.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $40.00 / $65.00	Professional		$17.02	$40.00	$65.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $18.69 / $18.69	Facility		$17.68	$18.69	$18.69
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 $11.51 / $18.53 / $92.55	Professional		$11.51	$18.53	$92.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $91.53 / $100.00	Facility		$67.50	$91.53	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $154.06 / $154.06	Professional		$146.85	$154.06	$154.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $18.63 / $28.62	Facility		$11.38	$18.63	$28.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $22.71 / $39.60	Professional		$15.34	$22.71	$39.60
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $11.04 / $18.37 / $18.67	Professional	CQ	$11.04	$18.37	$18.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $18.48 / $35.15	Professional		$13.86	$18.48	$35.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $18.80 / $35.34	Facility		$11.35	$18.80	$35.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $19.39 / $102.55	Professional		$12.16	$19.39	$102.55
United Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $15.95 / $21.15	Professional		$14.06	$15.95	$21.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $17.02 / $80.00	Professional		$14.91	$17.02	$80.00