Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $12.62 / $12.86	Facility		$12.37	$12.62	$12.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $12.86 / $18.18	Professional		$11.73	$12.86	$18.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $13.86 / $19.67	Professional		$13.86	$13.86	$19.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $13.19 / $16.50	Professional		$13.19	$13.19	$16.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $20.78 / $27.71	Professional		$19.39	$20.78	$27.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.71 / $27.71 / $27.71	Facility		$27.71	$27.71	$27.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Facility		$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $18.45	Professional		$13.47	$13.47	$18.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $128.41 / $128.41	Facility		$80.00	$128.41	$128.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $202.05	Professional		$138.63	$138.63	$202.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $19.82 / $27.71	Facility		$7.93	$19.82	$27.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $24.94 / $27.71	Professional		$7.93	$24.94	$27.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $28.26 / $62.35	Professional		$21.20	$28.26	$62.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $18.51 / $27.71	Facility		$7.93	$18.51	$27.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $19.67	Professional		$13.47	$13.47	$19.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $14.81 / $17.63	Professional		$10.24	$14.81	$17.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $14.76 / $27.71	Professional		$14.56	$14.76	$27.71