Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.96 / $25.12	Facility		$10.00	$10.96	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $22.91	Professional		$10.00	$12.88	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.23 / $13.80	Professional		$8.71	$10.23	$13.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.59 / $24.55	Facility		$11.75	$12.59	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $18.62	Professional		$9.55	$12.30	$18.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $29.51	Professional		$13.49	$19.05	$29.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.88 / $13.49	Facility		$10.23	$12.88	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.85 / $28.18	Professional		$12.30	$15.85	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.14 / $26.92	Facility		$10.72	$15.14	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $22.39	Professional		$10.00	$12.88	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $25.12 / $31.62	Professional		$11.22	$25.12	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.49 / $26.30	Facility		$10.96	$15.49	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $30.20	Professional		$12.30	$16.98	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $16.22	Facility		$14.79	$14.79	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $21.38	Professional		$10.47	$14.13	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $15.14	Professional		$9.55	$13.18	$15.14