Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.89 / $22.91	Facility		$19.05	$20.89	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $50.12	Professional		$20.42	$25.12	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $26.92	Professional		$15.85	$18.62	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $93.33	Facility		$21.88	$21.88	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $36.31	Professional		$18.62	$23.44	$36.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $42.66	Professional		$18.62	$28.18	$42.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $24.55	Facility		$12.02	$12.02	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $53.70	Professional		$23.44	$30.90	$53.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.18 / $51.29	Facility		$20.89	$28.18	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $45.71	Professional		$20.42	$25.12	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $46.77 / $58.88	Professional		$20.42	$46.77	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $51.29	Facility		$20.89	$29.51	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $57.54	Professional		$23.44	$31.62	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $30.20	Facility		$28.84	$28.84	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $41.69	Professional		$20.42	$28.18	$41.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $27.54	Professional		$18.62	$24.55	$27.54