Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $65.47 / $170.96	Facility		$26.53	$65.47	$170.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $26.67 / $49.71	Professional		$19.64	$26.67	$49.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $35.09	Professional		$17.55	$17.55	$35.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $111.94 / $207.03	Facility		$45.97	$111.94	$207.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $47.72 / $57.22	Professional		$31.58	$47.72	$57.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $77.67 / $163.93	Facility		$40.20	$77.67	$163.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $27.29 / $78.59	Professional		$19.88	$27.29	$78.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $167.46 / $321.41	Facility		$115.31	$167.46	$321.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $384.23 / $384.23 / $384.23	Professional		$384.23	$384.23	$384.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $40.35 / $71.62	Facility		$24.56	$40.35	$71.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $45.62	Professional		$35.09	$35.09	$45.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $42.11 / $78.95	Professional		$22.81	$42.11	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $53.02 / $146.76	Facility		$28.10	$53.02	$146.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $35.09 / $42.11	Facility		$20.60	$35.09	$42.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $29.03	Professional		$14.74	$20.60	$29.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09