Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $34.67 / $38.02	Facility		$26.92	$34.67	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $46.77	Professional		$22.91	$34.67	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $54.95	Professional		$38.90	$53.70	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $66.07 / $147.91	Facility		$42.66	$66.07	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $60.26	Professional		$33.11	$45.71	$60.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $54.95	Facility		$46.77	$46.77	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $36.31	Professional		$26.30	$26.30	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $269.15 / $407.38	Professional		$38.90	$269.15	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $54.95 / $85.11	Facility		$15.85	$54.95	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $54.95	Professional		$19.50	$34.67	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $46.77 / $81.28	Facility		$26.30	$46.77	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $39.81	Professional		$26.30	$26.30	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $36.31 / $41.69	Facility		$20.42	$36.31	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $38.90	Professional		$20.42	$30.20	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95