Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $108.00 / $108.00	Facility		$14.95	$108.00	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.00 / $169.00	Professional		$13.33	$15.00	$169.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $25.36 / $26.45	Professional		$14.14	$25.36	$26.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $39.07 / $87.97	Facility		$17.21	$39.07	$87.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $13.23	Professional		$13.23	$13.23	$13.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $12.50 / $16.50	Professional		$7.50	$12.50	$16.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.75 / $38.04	Professional		$10.00	$15.75	$38.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $151.40 / $172.90	Facility		$80.00	$151.40	$172.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $174.02 / $178.47 / $279.75	Professional		$174.02	$178.47	$279.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $16.89 / $35.94	Facility		$14.38	$16.89	$35.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $17.00	Professional		$11.25	$11.25	$17.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $12.91 / $16.39	Professional		$10.33	$12.91	$16.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $15.70 / $34.22	Facility		$14.22	$15.70	$34.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.00 / $33.92	Professional		$10.00	$15.00	$33.92
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $37.59 / $60.61	Professional		$27.07	$37.59	$60.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $34.17 / $46.90	Professional		$15.00	$34.17	$46.90