Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $108.00 / $108.00	Facility		$19.47	$108.00	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.47 / $300.00	Professional		$17.97	$19.47	$300.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.89 / $34.00	Professional		$16.20	$23.89	$34.00
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 $25.42 / $25.42 / $25.42	Professional		$25.42	$25.42	$25.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $25.00 / $30.00	Professional		$20.00	$25.00	$30.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.00 / $38.04	Professional		$19.00	$25.00	$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 $19.00 / $21.98 / $34.43	Facility		$19.00	$21.98	$34.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $36.19 / $36.19	Professional		$35.00	$36.19	$36.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $16.98 / $17.80	Professional		$13.59	$16.98	$17.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $20.44 / $33.14	Facility		$18.87	$20.44	$33.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $23.00 / $36.39	Professional		$18.00	$23.00	$36.39
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $36.19 / $60.61	Professional		$27.07	$36.19	$60.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $32.70 / $44.90	Professional		$21.45	$32.70	$44.90