Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $78.83 / $79.98	Facility		$5.38	$78.83	$79.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $13.14 / $21.08	Professional		$6.81	$13.14	$21.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $17.54 / $22.54 / $22.54	Professional	25	$17.54	$22.54	$22.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.31 / $5.41 / $9.42	Professional	52	$3.31	$5.41	$9.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $16.51 / $17.51	Professional		$8.76	$16.51	$17.51
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 Facility Modifier Low / Median / High Price $19.78 / $19.78 / $65.70	Facility		$19.78	$19.78	$65.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $15.96 / $26.43	Professional		$8.57	$15.96	$26.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $26.70 / $26.70	Facility		$7.94	$26.70	$26.70
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 $75.00 / $75.00 / $75.00	Facility		$75.00	$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 / $20.55 / $31.88	Professional		$11.35	$20.55	$31.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $17.14 / $31.93	Professional		$8.33	$17.14	$31.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $14.78 / $24.88	Facility		$8.06	$14.78	$24.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $39.64	Professional		$15.77	$15.77	$39.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $19.30 / $31.10	Professional		$14.33	$19.30	$31.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $17.14 / $23.27	Professional		$14.63	$17.14	$23.27