Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $65.67 / $99.97	Facility		$57.93	$65.67	$99.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $65.36 / $91.20	Professional		$51.12	$65.36	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $63.73 / $82.42	Professional		$54.17	$63.73	$82.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $55.94 / $84.26	Professional		$43.07	$55.94	$84.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $73.25 / $110.00	Professional		$57.36	$73.25	$110.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $69.52 / $80.55	Facility		$62.98	$69.52	$80.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $70.42 / $102.58	Professional		$36.60	$70.42	$102.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $301.25 / $322.14 / $322.14	Facility		$301.25	$322.14	$322.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $404.33 / $443.16 / $603.38	Professional		$404.33	$443.16	$603.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.93 / $76.20 / $93.17	Facility		$61.93	$76.20	$93.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $80.06 / $131.00	Professional		$60.01	$80.06	$131.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $84.28 / $118.81	Professional		$64.63	$84.28	$118.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.53 / $76.42 / $93.17	Facility		$60.53	$76.42	$93.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $62.00 / $108.44	Professional		$13.00	$62.00	$108.44
United Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $65.61 / $103.68	Professional		$43.13	$65.61	$103.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $73.14 / $100.34	Professional		$62.12	$73.14	$100.34