Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $12.49 / $13.99	Facility		$9.49	$12.49	$13.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.49 / $19.16	Professional		$9.49	$12.49	$19.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $11.41 / $14.22	Professional		$11.41	$11.41	$14.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $21.34 / $55.00	Facility		$12.16	$21.34	$55.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $10.16 / $10.16	Professional		$9.05	$10.16	$10.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $15.21 / $19.01	Professional		$12.36	$15.21	$19.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $8.66 / $19.01	Facility		$8.66	$8.66	$19.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $13.44 / $13.44	Facility		$9.66	$13.44	$13.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $13.44	Professional		$11.42	$11.42	$13.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.60 / $106.21 / $106.21	Facility		$101.60	$106.21	$106.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $113.36 / $167.70	Professional		$110.70	$113.36	$167.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $14.28 / $19.76	Facility		$6.13	$14.28	$19.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $17.48 / $19.01	Professional		$7.55	$17.48	$19.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $13.62 / $19.59	Facility		$6.13	$13.62	$19.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $18.60	Professional		$11.42	$11.42	$18.60
United Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $8.77 / $14.10	Facility		$7.53	$8.77	$14.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $10.32 / $13.62	Professional		$7.91	$10.32	$13.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $19.01	Professional		$10.09	$10.09	$19.01