Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.27 / $7.52 / $15.47	Facility		$5.27	$7.52	$15.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $12.52 / $20.68	Professional		$6.81	$12.52	$20.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $16.52 / $19.16	Professional		$1.00	$16.52	$19.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $13.46 / $15.84	Professional		$7.78	$13.46	$15.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $20.58 / $30.56	Professional		$15.96	$20.58	$30.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $20.11 / $20.11	Facility		$7.94	$20.11	$20.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $75.00 / $75.00	Facility		$45.24	$75.00	$75.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $73.13 / $146.69	Professional		$66.75	$73.13	$146.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $14.87 / $24.88	Facility		$8.26	$14.87	$24.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $20.11 / $31.88	Professional		$11.35	$20.11	$31.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $17.18 / $31.86	Professional		$8.47	$17.18	$31.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $14.78 / $24.98	Facility		$8.06	$14.78	$24.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $39.88	Professional		$15.77	$15.77	$39.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $19.17 / $30.65	Professional		$14.59	$19.17	$30.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $17.14 / $23.27	Professional		$14.63	$17.14	$23.27