Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $108.00 / $108.00	Facility		$19.57	$108.00	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.57 / $28.75	Professional		$17.97	$19.57	$28.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $20.64 / $21.93	Professional		$13.33	$20.64	$21.93
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 $24.23 / $24.23 / $24.23	Professional		$24.23	$24.23	$24.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.75 / $45.00	Professional		$10.00	$12.75	$45.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $23.69 / $40.44	Professional		$19.57	$23.69	$40.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $160.47 / $183.45	Facility		$80.00	$160.47	$183.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $185.58 / $274.35	Professional		$180.95	$185.58	$274.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $21.98 / $36.29	Facility		$18.94	$21.98	$36.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $23.27	Professional		$22.50	$22.50	$23.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $14.54 / $17.80	Professional		$11.63	$14.54	$17.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $20.30 / $34.54	Facility		$18.87	$20.30	$34.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $23.22 / $39.47	Professional		$16.00	$23.22	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $38.35 / $63.44	Professional		$28.15	$38.35	$63.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $34.50 / $47.38	Professional		$22.63	$34.50	$47.38