Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $20.89	Facility		$19.95	$19.95	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $33.11	Professional		$16.98	$20.89	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $69.18	Professional		$19.95	$28.18	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $47.86	Professional		$29.51	$38.02	$47.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $79.43	Facility		$47.86	$47.86	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $30.20	Professional		$21.88	$21.88	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $363.08	Professional		$234.42	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $58.88	Facility		$18.62	$35.48	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $40.74	Professional		$16.98	$21.88	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $40.74	Professional		$35.48	$35.48	$40.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $58.88	Facility		$18.62	$35.48	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $30.20	Professional		$21.88	$21.88	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $18.20 / $41.69	Facility		$11.22	$18.20	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $25.70	Professional		$15.14	$21.88	$25.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86