Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $66.07	Facility		$11.22	$16.60	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $19.95	Professional		$9.55	$15.14	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $24.55	Facility		$19.50	$19.50	$24.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $165.96	Professional		$19.95	$30.20	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $22.91 / $37.15	Facility		$13.49	$22.91	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $19.95	Professional		$9.55	$15.14	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,388.44 / $3,981.07	Facility		$489.78	$3,388.44	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $30.20 / $30.20	Professional		$10.96	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.99 / $38.02	Facility		$13.49	$23.99	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $22.91	Professional		$10.72	$12.59	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $19.50	Professional		$16.60	$16.60	$19.50