Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $12.61 / $44.65	Facility		$9.16	$12.61	$44.65
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $44.65 / $82.40 / $82.40	Facility	25	$44.65	$82.40	$82.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $12.79 / $22.74	Professional		$9.69	$12.79	$22.74
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.07 / $24.55 / $51.46	Professional	25	$13.07	$24.55	$51.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $13.56 / $17.63	Professional		$11.12	$13.56	$17.63
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $11.70 / $13.56 / $24.29	Professional	25	$11.70	$13.56	$24.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.61 / $15.76	Facility		$11.48	$12.61	$15.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.54 / $15.85	Professional		$9.77	$12.54	$15.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $21.26 / $32.47	Facility		$12.11	$21.26	$32.47
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $15.51 / $24.36	Professional		$11.90	$15.51	$24.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $26.70 / $26.70	Facility		$10.57	$26.70	$26.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $15.71 / $24.94	Professional		$11.21	$15.71	$24.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $57.05 / $80.00	Facility		$57.05	$57.05	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $199.96 / $199.96	Professional		$59.58	$199.96	$199.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $14.24 / $25.44	Facility		$10.29	$14.24	$25.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $18.78 / $26.32	Professional		$14.15	$18.78	$26.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $15.52 / $26.45	Professional		$11.12	$15.52	$26.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $14.28 / $26.03	Facility		$10.27	$14.28	$26.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $16.77 / $31.45	Professional		$11.70	$16.77	$31.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $15.50 / $23.04	Professional		$11.36	$15.50	$23.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $13.92 / $18.98	Professional		$11.87	$13.92	$18.98