Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $47.00 / $508.03	Facility		$17.01	$47.00	$508.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.79 / $18.00	Professional		$12.48	$12.79	$18.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $24.70 / $116.00	Professional		$9.36	$24.70	$116.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $32.78 / $65.40	Facility		$12.95	$32.78	$65.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Professional		$13.10	$13.10	$13.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $15.66 / $124.39	Facility		$15.66	$15.66	$124.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $41.89 / $41.89	Facility		$41.89	$41.89	$41.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $101.10 / $101.10	Professional		$101.10	$101.10	$101.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $15.60 / $202.73	Facility		$12.95	$15.60	$202.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $59.00 / $75.00	Professional		$13.26	$59.00	$75.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $1,018.10 / $1,171.21	Facility		$897.58	$1,018.10	$1,171.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $45.94 / $48.24	Professional		$30.76	$45.94	$48.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $15.60 / $27.06	Facility		$13.26	$15.60	$27.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
United Facility/Professional Facility Modifier Low / Median / High Price $97.66 / $97.66 / $97.66	Facility		$97.66	$97.66	$97.66
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $19.30 / $26.07	Professional		$13.00	$19.30	$26.07