Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $26.25 / $34.06	Professional		$18.21	$26.25	$34.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $13.31 / $31.30	Professional		$13.31	$13.31	$31.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $26.08 / $35.39	Facility		$23.68	$26.08	$35.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.64 / $37.25	Professional		$5.00	$14.64	$37.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $37.25 / $59.87	Professional		$21.29	$37.25	$59.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $26.61 / $26.61	Facility		$23.95	$26.61	$26.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $21.11 / $58.36	Professional		$15.09	$21.11	$58.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.03 / $126.40 / $126.40	Facility		$87.03	$126.40	$126.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,255.68 / $3,255.68 / $3,255.68	Professional		$3,255.68	$3,255.68	$3,255.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.59 / $39.65 / $70.31	Facility		$23.59	$39.65	$70.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $26.61 / $65.76	Professional		$25.55	$26.61	$65.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $33.26 / $101.92	Professional		$17.30	$33.26	$101.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $39.92 / $80.00	Facility		$22.36	$39.92	$80.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $30.60 / $54.61	Professional		$15.09	$30.60	$54.61
United Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $22.21 / $59.22	Professional		$15.97	$22.21	$59.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $15.01 / $26.61	Professional		$10.38	$15.01	$26.61