Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $60.26 / $524.81	Facility		$25.12	$60.26	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $40.74	Professional		$12.02	$12.59	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.33 / $109.65	Professional		$6.61	$9.33	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.11 / $61.66	Facility		$12.88	$33.11	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $117.49 / $977.24	Facility		$15.49	$117.49	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $43.65 / $302.00	Facility		$12.88	$43.65	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $45.71	Professional		$12.02	$12.88	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $30.20	Professional		$20.42	$28.84	$30.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,090.30 / $3,235.94	Facility		$1,023.29	$3,090.30	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.49 / $41.69	Facility		$12.88	$15.49	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50