Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $17.27 / $22.37	Facility		$14.47	$17.27	$22.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $19.55 / $26.46	Professional		$15.19	$19.55	$26.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $13.05 / $27.00	Professional		$13.05	$13.05	$27.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.91 / $331.29 / $614.03	Facility		$135.91	$331.29	$614.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $17.88 / $30.07	Professional		$15.26	$17.88	$30.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $20.50 / $21.59	Professional		$16.78	$20.50	$21.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $20.68 / $21.92	Facility		$18.64	$20.68	$21.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $115.66 / $148.72	Facility		$22.69	$115.66	$148.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $23.58 / $37.26	Professional		$18.03	$23.58	$37.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $92.34 / $110.34	Facility		$38.32	$92.34	$110.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120.34 / $120.34 / $174.90	Professional		$120.34	$120.34	$174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $20.78 / $36.61	Facility		$16.78	$20.78	$36.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $27.62 / $36.70	Professional		$21.70	$27.62	$36.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $51.90 / $51.90	Professional		$20.55	$51.90	$51.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $20.78 / $36.69	Facility		$16.78	$20.78	$36.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $25.37 / $48.12	Professional		$18.80	$25.37	$48.12
United Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $20.97 / $31.36	Professional		$15.56	$20.97	$31.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $18.64 / $26.72	Professional		$16.84	$18.64	$26.72