Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $35.31 / $66.77	Professional		$21.50	$35.31	$66.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $32.65 / $46.15	Professional		$16.32	$32.65	$46.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $19.39 / $19.39	Facility		$19.39	$19.39	$19.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $69.61 / $86.74	Professional		$43.35	$69.61	$86.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $49.64 / $80.05	Professional		$32.65	$49.64	$80.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $45.70 / $50.70	Facility		$27.81	$45.70	$50.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $29.62 / $89.57	Professional		$17.12	$29.62	$89.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $170.19 / $170.19	Facility		$62.11	$170.19	$170.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $360.21 / $449.40	Professional		$219.22	$360.21	$449.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $52.26 / $92.25	Facility		$29.39	$52.26	$92.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $65.90 / $102.00	Professional		$41.65	$65.90	$102.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $51.40 / $110.22	Professional		$28.24	$51.40	$110.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $52.01 / $100.34	Facility		$28.20	$52.01	$100.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $36.69 / $105.84	Professional		$17.22	$36.69	$105.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $33.33 / $109.00	Professional		$30.72	$33.33	$109.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $28.48 / $52.78	Professional		$14.78	$28.48	$52.78