Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $62.62 / $277.64	Facility		$33.67	$62.62	$277.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $36.96 / $54.98	Professional		$27.71	$36.96	$54.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $47.28 / $53.19	Professional		$25.92	$47.28	$53.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $96.88 / $182.51	Facility		$49.74	$96.88	$182.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $53.71 / $71.34	Professional		$33.22	$53.71	$71.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $40.18 / $61.10	Professional		$37.03	$40.18	$61.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $36.94 / $39.40	Facility		$36.94	$36.94	$39.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $45.11 / $45.11	Facility		$45.11	$45.11	$45.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $45.31 / $81.41	Professional		$31.47	$45.31	$81.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $213.13 / $213.13	Facility		$79.56	$213.13	$213.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $258.05 / $258.05 / $338.10	Professional		$258.05	$258.05	$338.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $39.63 / $74.05	Facility		$30.88	$39.63	$74.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $64.05 / $134.10	Professional		$49.50	$64.05	$134.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $47.51 / $82.35	Professional		$26.12	$47.51	$82.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $40.18 / $74.05	Facility		$30.88	$40.18	$74.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $51.03 / $106.80	Professional		$33.25	$51.03	$106.80
United Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $63.54 / $93.44	Facility		$41.53	$63.54	$93.44
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $43.25 / $70.36	Professional		$33.20	$43.25	$70.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $37.03 / $52.64	Professional		$33.13	$37.03	$52.64