Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $67.05 / $182.77	Facility		$22.35	$67.05	$182.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $30.25 / $49.45	Professional		$20.99	$30.25	$49.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $23.51 / $23.51	Professional		$20.32	$23.51	$23.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.99 / $111.74 / $203.84	Facility		$41.99	$111.74	$203.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $17.95 / $30.14	Professional		$5.00	$17.95	$30.14
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $33.68 / $50.79	Professional		$25.40	$33.68	$50.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.47 / $30.47 / $33.86	Facility		$30.47	$30.47	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $73.95 / $154.87	Facility		$23.66	$73.95	$154.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $24.73 / $56.90	Professional		$17.95	$24.73	$56.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $161.58 / $161.58	Facility		$80.00	$161.58	$161.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $33.86 / $42.58	Facility		$27.09	$33.86	$42.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $33.86 / $44.13	Professional		$30.47	$33.86	$44.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $42.54 / $55.04	Facility		$42.54	$42.54	$55.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $33.86 / $84.39	Facility		$27.09	$33.86	$84.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $26.04 / $48.93	Professional		$17.95	$26.04	$48.93
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $19.51 / $27.65	Professional		$14.22	$19.51	$27.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $16.72 / $33.86	Professional		$13.21	$16.72	$33.86