Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $12.02 / $22.91	Facility		$9.55	$12.02	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $16.98	Professional		$7.94	$12.02	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $12.30	Professional		$9.77	$11.75	$12.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.88 / $53.70	Facility		$15.14	$21.88	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $10.23	Professional		$9.12	$9.12	$10.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $19.50	Professional		$11.48	$15.49	$19.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $19.50	Facility		$8.71	$8.71	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $13.49	Facility		$9.55	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $13.49	Professional		$11.48	$11.48	$13.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $165.96	Professional		$112.20	$165.96	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $17.78 / $28.18	Facility		$10.72	$17.78	$28.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $19.05	Professional		$7.08	$12.02	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $12.30	Professional		$10.72	$10.72	$12.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.98 / $29.51	Facility		$10.23	$16.98	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $14.79	Professional		$11.48	$11.48	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $8.91 / $14.13	Facility		$6.46	$8.91	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $13.49	Professional		$7.94	$10.23	$13.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50