Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $37.49 / $79.16	Professional		$21.71	$37.49	$79.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $20.97 / $70.48	Professional		$16.85	$20.97	$70.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $47.58 / $125.00	Professional		$23.96	$47.58	$125.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $46.92 / $109.98	Professional		$23.60	$46.92	$109.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $34.63 / $35.04	Facility		$32.97	$34.63	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $35.43 / $92.51	Professional		$17.52	$35.43	$92.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $269.79 / $269.79	Facility		$140.47	$269.79	$269.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $340.37 / $747.34 / $777.24	Professional		$340.37	$747.34	$777.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $56.76 / $111.04	Facility		$30.39	$56.76	$111.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $51.44 / $79.18	Professional		$42.86	$51.44	$79.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $41.57 / $65.31	Professional		$23.12	$41.57	$65.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.79 / $58.99 / $112.09	Facility		$29.79	$58.99	$112.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $38.67 / $103.98	Professional		$17.57	$38.67	$103.98
United Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $39.34 / $88.52	Professional		$23.60	$39.34	$88.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $19.30 / $34.44	Professional		$15.34	$19.30	$34.44