Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $11.80	Facility		$10.93	$10.93	$11.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $11.80 / $21.85	Professional		$10.93	$11.80	$21.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $17.72 / $18.71	Professional		$14.87	$17.72	$18.71
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 $11.88 / $11.88 / $14.86	Professional		$11.88	$11.88	$14.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $18.71 / $24.95	Professional		$17.47	$18.71	$24.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $259.58 / $259.58	Facility		$24.95	$259.58	$259.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.14 / $147.82 / $147.82	Facility		$125.14	$147.82	$147.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $149.38 / $202.95	Professional		$149.38	$149.38	$202.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $17.47 / $24.95	Facility		$7.52	$17.47	$24.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $21.40 / $24.95	Professional		$7.60	$21.40	$24.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $16.68 / $24.95	Facility		$7.52	$16.68	$24.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $20.02	Professional		$11.89	$11.89	$20.02
United Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $26.45 / $31.12	Facility		$26.45	$26.45	$31.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $14.36 / $17.55	Professional		$9.71	$14.36	$17.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.98 / $24.95	Professional		$14.13	$17.98	$24.95