Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $49.08 / $142.85	Professional		$37.90	$49.08	$142.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $36.15 / $89.50	Professional		$27.84	$36.15	$89.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $86.34 / $166.68	Professional		$75.86	$86.34	$166.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.68 / $104.07	Professional		$45.71	$70.68	$104.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.71 / $56.60 / $59.48	Facility		$48.71	$56.60	$59.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $46.30 / $132.97	Professional		$29.74	$46.30	$132.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.96 / $332.76 / $332.76	Facility		$172.96	$332.76	$332.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $485.70 / $951.12 / $989.16	Professional		$485.70	$951.12	$989.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.06 / $83.79 / $138.36	Facility		$53.06	$83.79	$138.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $87.33 / $232.88	Professional		$72.78	$87.33	$232.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $70.25 / $111.35	Professional		$38.65	$70.25	$111.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $85.22 / $148.26	Facility		$50.56	$85.22	$148.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $59.33 / $157.38	Professional		$30.29	$59.33	$157.38
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $52.83 / $143.66	Professional		$39.61	$52.83	$143.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $31.32 / $58.46	Professional		$25.76	$31.32	$58.46