Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $69.48 / $189.43	Facility		$26.53	$69.48	$189.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $26.31 / $47.73	Professional		$19.64	$26.31	$47.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $21.05	Professional		$17.55	$17.55	$21.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $112.66 / $211.24	Facility		$43.33	$112.66	$211.24
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 Facility Modifier Low / Median / High Price $35.09 / $54.39 / $215.25	Facility		$35.09	$54.39	$215.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $15.79 / $35.09	Facility		$15.79	$15.79	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $80.56 / $186.82	Facility		$40.20	$80.56	$186.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $77.45	Professional		$19.88	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $167.46 / $206.00	Facility		$88.87	$167.46	$206.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $325.62 / $325.62	Professional		$325.62	$325.62	$325.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $47.37 / $87.97	Facility		$27.37	$47.37	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $48.69	Professional		$35.09	$35.09	$48.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $22.81 / $78.95	Professional		$17.55	$22.81	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $56.40 / $127.08	Facility		$28.80	$56.40	$127.08
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 Professional Modifier Low / Median / High Price $14.74 / $20.60 / $29.83	Professional		$14.74	$20.60	$29.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09