Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $93.91 / $248.26	Facility		$31.57	$93.91	$248.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $30.90 / $50.70	Professional		$23.39	$30.90	$50.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.19 / $133.21 / $244.86	Facility		$47.19	$133.21	$244.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $22.97 / $58.46	Professional		$5.00	$22.97	$58.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $130.38 / $130.38 / $198.85	Facility		$130.38	$130.38	$198.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $37.58 / $58.46	Professional		$29.23	$37.58	$58.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $41.76 / $80.00	Facility		$41.76	$41.76	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $96.19 / $220.97	Facility		$47.80	$96.19	$220.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $31.05 / $92.18	Professional		$23.74	$31.05	$92.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.58 / $199.32 / $263.00	Facility		$89.58	$199.32	$263.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $343.25 / $343.25	Professional		$325.62	$343.25	$343.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $53.82 / $93.81	Facility		$32.57	$53.82	$93.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $41.76 / $52.20	Professional		$39.67	$41.76	$52.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $27.14 / $93.96	Professional		$20.88	$27.14	$93.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.28 / $63.10 / $152.53	Facility		$34.28	$63.10	$152.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $41.45 / $81.20	Professional		$24.14	$41.45	$81.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $24.06 / $34.54	Professional		$17.54	$24.06	$34.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $21.63 / $41.76	Professional		$20.62	$21.63	$41.76