Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $252.00 / $910.90	Facility		$14.73	$252.00	$910.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.88 / $212.80	Professional		$14.73	$14.88	$212.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Professional		$11.03	$11.03	$11.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $40.29 / $81.92	Facility		$16.45	$40.29	$81.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $16.38 / $16.38	Professional		$16.38	$16.38	$16.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.70 / $319.41	Facility		$14.00	$14.70	$319.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $95.55 / $95.55	Facility		$95.55	$95.55	$95.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $14.73 / $14.73	Facility		$13.90	$14.73	$14.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
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 $64.91 / $64.91 / $64.91	Professional		$64.91	$64.91	$64.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $14.88 / $31.25	Facility		$14.70	$14.88	$31.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $15.02 / $18.41	Professional		$14.06	$15.02	$18.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.93 / $24.30	Professional		$14.73	$15.93	$24.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $14.73 / $27.40	Facility		$13.90	$14.73	$27.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.92	Professional		$14.73	$14.73	$14.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.73 / $19.89	Professional		$14.70	$14.73	$19.89