Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $23.19 / $5,063.55	Facility		$13.12	$23.19	$5,063.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.62 / $18.52	Professional		$13.49	$13.62	$18.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.58 / $18.37	Professional		$13.12	$13.58	$18.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $48.29 / $96.17	Facility		$20.64	$48.29	$96.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $25.61 / $25.61	Professional		$25.61	$25.61	$25.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $23.75 / $4,384.66	Facility		$18.66	$23.75	$4,384.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,773.57 / $2,773.57 / $2,773.57	Facility		$2,773.57	$2,773.57	$2,773.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $13.49 / $21.21	Facility		$12.72	$13.49	$21.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $14.00	Professional		$13.49	$13.49	$14.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $101.35 / $101.35	Facility		$75.00	$101.35	$101.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $102.03 / $102.03	Professional		$102.03	$102.03	$102.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.49 / $38.29	Facility		$13.12	$13.49	$38.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.76 / $22.26	Professional		$13.49	$13.76	$22.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $15.40 / $28.88	Professional		$12.83	$15.40	$28.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $33.25	Facility		$13.49	$13.49	$33.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $19.82	Professional		$13.49	$13.49	$19.82
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.30 / $15.02	Professional		$13.49	$14.30	$15.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $13.49 / $18.89	Professional		$13.45	$13.49	$18.89