Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $30.76 / $11,779.03	Facility		$17.02	$30.76	$11,779.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.19 / $6,615.00	Professional		$17.02	$17.19	$6,615.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.27	Professional		$17.02	$17.02	$20.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $31.08 / $61.40	Facility		$12.28	$31.08	$61.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Professional		$16.32	$16.32	$16.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $15.59 / $10,265.36	Facility		$13.00	$15.59	$10,265.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $17.80 / $23.83	Professional		$15.59	$17.80	$23.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $9,035.20 / $9,035.20 / $9,035.20	Facility		$9,035.20	$9,035.20	$9,035.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $17.02 / $17.02	Facility		$16.05	$17.02	$17.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.10 / $100.00	Facility		$75.00	$85.10	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,929.21 / $4,929.21 / $4,929.21	Professional		$4,929.21	$4,929.21	$4,929.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $17.02 / $25.97	Facility		$16.89	$17.02	$25.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.36 / $28.08	Professional		$17.02	$17.36	$28.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $18.72 / $30.50	Professional		$17.01	$18.72	$30.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $17.02 / $26.58	Facility		$17.02	$17.02	$26.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.14	Professional		$17.02	$17.02	$20.14
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $18.04 / $18.95	Professional		$17.02	$18.04	$18.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $17.02 / $23.83	Professional		$16.19	$17.02	$23.83