Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $23.44 / $9,549.93	Facility		$7.94	$23.44	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.32 / $39.81	Professional		$7.94	$8.32	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $11.48	Professional		$8.13	$8.13	$11.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $63.10	Facility		$13.49	$33.11	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $13.18 / $2,570.40	Facility		$6.03	$13.18	$2,570.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $8.13 / $8.13	Facility		$7.76	$8.13	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
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 $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.71 / $19.05	Facility		$8.13	$8.71	$19.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $15.85	Professional		$7.94	$7.94	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $14.45	Professional		$12.02	$13.49	$14.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $18.20 / $31.62	Professional		$8.13	$18.20	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.55 / $18.62	Facility		$8.13	$9.55	$18.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $10.47	Professional		$6.03	$6.03	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $10.47	Facility		$8.13	$8.13	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $9.12	Professional		$8.13	$8.71	$9.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $13.49	Professional		$8.13	$8.13	$13.49