Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.42 / $32.42 / $32.42	Facility		$32.42	$32.42	$32.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $20.25 / $28.39	Professional		$13.15	$20.25	$28.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $31.44	Professional		$10.13	$10.13	$31.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $26.95 / $62.53	Facility		$18.03	$26.95	$62.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.14 / $28.36	Professional		$5.00	$11.14	$28.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $27.55 / $67.00	Professional		$16.21	$27.55	$67.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $20.26 / $20.26	Facility		$20.26	$20.26	$20.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $15.76 / $44.73	Professional		$10.74	$15.76	$44.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $96.72 / $96.72	Facility		$66.56	$96.72	$96.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $166.58 / $166.58	Professional		$151.94	$166.58	$166.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $30.19 / $49.54	Facility		$18.05	$30.19	$49.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $40.79	Professional		$20.26	$20.26	$40.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $25.32 / $77.59	Professional		$13.17	$25.32	$77.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $30.22 / $50.79	Facility		$17.22	$30.22	$50.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $23.30 / $42.45	Professional		$11.41	$23.30	$42.45
United Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $16.89 / $44.57	Professional		$12.16	$16.89	$44.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $11.48 / $20.26	Professional		$7.90	$11.48	$20.26