Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $23.70 / $6,318.00	Facility		$10.54	$23.70	$6,318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.65 / $14.67	Professional		$10.54	$10.65	$14.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $16.97	Professional		$12.12	$12.12	$16.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $34.52 / $68.20	Facility		$13.64	$34.52	$68.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $14.72 / $14.72	Professional		$14.72	$14.72	$14.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $13.65 / $4,087.49	Facility		$13.33	$13.65	$4,087.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.22 / $20.13	Professional		$10.54	$14.22	$20.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,299.52 / $3,299.52 / $3,299.52	Facility		$3,299.52	$3,299.52	$3,299.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $10.54 / $13.77	Facility		$9.94	$10.54	$13.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.94	Professional		$10.54	$10.54	$10.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.85 / $1,253.85 / $1,253.85	Professional		$1,253.85	$1,253.85	$1,253.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.38 / $12.12 / $20.47	Facility		$9.38	$12.12	$20.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.75 / $17.39	Professional		$10.54	$10.75	$17.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $11.60 / $27.40	Professional		$8.59	$11.60	$27.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $10.54 / $20.11	Facility		$9.44	$10.54	$20.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $16.93	Professional		$10.54	$10.54	$16.93
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.17 / $11.73	Professional		$10.54	$11.17	$11.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $13.33 / $14.76	Professional		$10.54	$13.33	$14.76