Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $16.59 / $27.78	Professional		$13.61	$16.59	$27.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $20.63	Professional		$10.63	$10.63	$20.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $36.60 / $37.95	Professional		$19.52	$36.60	$37.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.00 / $40.83	Professional		$20.42	$29.00	$40.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $20.43 / $25.71	Facility		$18.23	$20.43	$25.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $14.73 / $45.52	Professional		$10.88	$14.73	$45.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $107.64 / $107.64	Facility		$33.83	$107.64	$107.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.58 / $164.61 / $220.95	Professional		$138.58	$164.61	$220.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $23.99 / $38.28	Facility		$13.92	$23.99	$38.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $37.22 / $82.80	Professional		$27.34	$37.22	$82.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $26.88 / $33.34	Professional		$22.89	$26.88	$33.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.99 / $38.65	Facility		$14.45	$23.99	$38.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $19.88 / $58.40	Professional		$11.10	$19.88	$58.40
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $17.51 / $55.58	Professional		$16.54	$17.51	$55.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $13.83 / $26.27	Professional		$10.39	$13.83	$26.27