Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $21.29 / $165.90	Facility		$8.13	$21.29	$165.90
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $46.80 / $151.00 / $201.34	Facility	25	$46.80	$151.00	$201.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $19.07 / $33.43	Professional		$7.09	$19.07	$33.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $17.17 / $26.70 / $74.00	Professional	25	$17.17	$26.70	$74.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $21.71 / $30.39	Professional		$8.51	$21.71	$30.39
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $19.00 / $22.78 / $50.00	Professional	25	$19.00	$22.78	$50.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $15.18 / $28.11	Facility		$8.90	$15.18	$28.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $15.18 / $23.90	Professional		$7.58	$15.18	$23.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $8.82 / $80.25 / $122.61	Facility		$8.82	$80.25	$122.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $24.61 / $33.86	Professional		$9.55	$24.61	$33.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $20.61 / $21.63	Facility		$7.62	$20.61	$21.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $155.00 / $235.00	Facility		$120.00	$155.00	$235.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $20.56 / $33.07	Professional		$8.63	$20.56	$33.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $42.70 / $50.00	Facility		$18.36	$42.70	$50.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $220.00 / $489.00	Professional		$86.77	$220.00	$489.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $20.38 / $30.68	Facility		$7.90	$20.38	$30.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $26.04 / $40.40	Professional		$10.93	$26.04	$40.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $22.21 / $38.67	Professional		$7.77	$22.21	$38.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $20.55 / $32.14	Facility		$7.90	$20.55	$32.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $21.80 / $41.93	Professional		$9.19	$21.80	$41.93
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $23.38 / $35.19	Professional		$17.30	$23.38	$35.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.64 / $30.75	Professional		$19.32	$22.64	$30.75