Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $97.72 / $234.42	Facility		$33.88	$97.72	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $64.57	Professional		$30.20	$38.90	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $53.70	Professional		$28.84	$34.67	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $117.49 / $186.21	Facility		$53.70	$117.49	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $67.61	Professional		$30.90	$52.48	$67.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $40.74	Professional		$38.90	$38.90	$40.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $39.81	Facility		$37.15	$37.15	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $91.20	Professional		$32.36	$46.77	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $338.84	Professional		$257.04	$338.84	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $51.29 / $95.50	Facility		$33.88	$51.29	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $83.18	Professional		$30.20	$42.66	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $109.65	Professional		$37.15	$64.57	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $45.71 / $79.43	Facility		$33.88	$45.71	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $100.00	Professional		$33.11	$47.86	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $72.44	Professional		$33.11	$42.66	$72.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $47.86	Professional		$38.02	$39.81	$47.86