Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $108.00 / $108.00	Facility		$14.86	$108.00	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $14.51 / $18.23	Professional		$13.33	$14.51	$18.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $33.33 / $33.33	Professional		$30.38	$33.33	$33.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $8.19	Professional		$8.19	$8.19	$8.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $20.00 / $22.00	Professional		$6.00	$20.00	$22.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.97 / $48.10	Professional		$10.00	$15.97	$48.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.16 / $190.76 / $217.93	Facility		$87.16	$190.76	$217.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $219.11 / $222.35 / $352.58	Professional		$219.11	$222.35	$352.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $16.79 / $42.98	Facility		$14.00	$16.79	$42.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $26.21	Professional		$20.00	$20.00	$26.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $8.19	Professional		$8.19	$8.19	$8.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $15.55 / $41.11	Facility		$14.00	$15.55	$41.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.00 / $43.06	Professional		$10.00	$15.00	$43.06
United Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $46.43 / $75.16	Professional		$33.56	$46.43	$75.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $41.05 / $56.34	Professional		$22.62	$41.05	$56.34