Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $39.81 / $123.03	Professional		$21.88	$39.81	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $37.15	Professional		$16.22	$19.50	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $63.10	Facility		$54.95	$54.95	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $74.13	Professional		$44.67	$70.79	$74.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $91.20	Professional		$33.11	$52.48	$91.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $45.71 / $51.29	Facility		$27.54	$45.71	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $89.13	Professional		$16.98	$30.20	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $446.68	Professional		$363.08	$446.68	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $51.29 / $95.50	Facility		$27.54	$51.29	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $46.77 / $109.65	Professional		$23.99	$46.77	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $109.65	Professional		$29.51	$54.95	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $50.12 / $95.50	Facility		$26.92	$50.12	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $95.50	Professional		$16.98	$30.20	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $95.50	Professional		$22.39	$32.36	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $52.48	Professional		$14.79	$14.79	$52.48