Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $53.46 / $151.66	Facility		$20.23	$53.46	$151.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.27 / $54.76	Professional		$19.57	$24.27	$54.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $30.85	Professional		$16.05	$16.05	$30.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.99 / $104.35 / $180.58	Facility		$37.99	$104.35	$180.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $40.99 / $45.54	Professional		$17.89	$40.99	$45.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $50.15 / $74.72	Professional		$44.94	$50.15	$74.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $32.03 / $33.51	Facility		$31.86	$32.03	$33.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $61.87 / $99.19	Facility		$23.17	$61.87	$99.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $17.45 / $56.99	Professional		$14.28	$17.45	$56.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $173.42 / $173.42	Facility		$77.22	$173.42	$173.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Professional		$333.00	$333.00	$333.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $35.83 / $54.40	Facility		$24.22	$35.83	$54.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $49.49 / $131.96	Professional		$32.10	$49.49	$131.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $39.83 / $62.77	Professional		$28.48	$39.83	$62.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $37.11 / $91.07	Facility		$23.53	$37.11	$91.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $23.72 / $79.00	Professional		$14.07	$23.72	$79.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $20.79 / $56.77	Professional		$17.48	$20.79	$56.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $33.54	Professional		$13.54	$13.54	$33.54