Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $90.00 / $229.25	Facility		$35.89	$90.00	$229.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $33.77 / $62.71	Professional		$27.01	$33.77	$62.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $55.48 / $55.48	Professional		$55.48	$55.48	$55.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $119.15 / $252.78	Facility		$59.82	$119.15	$252.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $26.53 / $67.54	Professional		$5.00	$26.53	$67.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $49.40 / $78.18	Professional		$43.42	$49.40	$78.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $96.48 / $96.48	Facility		$48.24	$96.48	$96.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $103.17 / $214.38	Facility		$40.92	$103.17	$214.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $30.55 / $79.88	Professional		$22.51	$30.55	$79.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $229.14 / $229.14	Facility		$88.87	$229.14	$229.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $289.44 / $289.44 / $361.80	Professional		$289.44	$289.44	$361.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $56.66 / $87.97	Facility		$37.63	$56.66	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $49.20 / $72.36	Professional		$45.55	$49.20	$72.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $53.06 / $87.80	Professional		$45.83	$53.06	$87.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $62.71 / $160.52	Facility		$37.63	$62.71	$160.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $45.71 / $78.73	Professional		$22.66	$45.71	$78.73
United Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $20.60 / $34.44	Professional		$20.11	$20.60	$34.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $24.99 / $48.24	Professional		$19.30	$24.99	$48.24