Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.58 / $63.01 / $152.88	Facility		$55.58	$63.01	$152.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $65.23 / $93.46	Professional		$52.72	$65.23	$93.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $58.41 / $82.55	Professional		$45.63	$58.41	$82.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $59.70 / $91.43	Professional		$46.49	$59.70	$91.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $81.77 / $120.10	Professional		$54.72	$81.77	$120.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.87 / $65.87 / $85.17	Facility		$65.87	$65.87	$85.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.68 / $96.77	Professional		$47.10	$64.68	$96.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.45 / $344.23 / $344.23	Facility		$322.45	$344.23	$344.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $440.01 / $488.57 / $649.35	Professional		$440.01	$488.57	$649.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $75.16 / $92.61	Facility		$66.20	$75.16	$92.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $89.57 / $138.13	Professional		$56.99	$89.57	$138.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $198.31 / $198.31 / $198.31	Facility		$198.31	$198.31	$198.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $89.56 / $127.31	Professional		$62.35	$89.56	$127.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.89 / $75.13 / $92.82	Facility		$63.89	$75.13	$92.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $56.00 / $94.41	Professional		$35.00	$56.00	$94.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $69.04 / $108.57	Professional		$51.87	$69.04	$108.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $79.43 / $109.03	Professional		$67.36	$79.43	$109.03