Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $73.73 / $88.71	Facility		$45.00	$73.73	$88.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $63.63 / $84.01	Professional		$50.43	$63.63	$84.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $60.92 / $79.58	Professional		$54.43	$60.92	$79.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $60.59 / $86.44	Professional		$39.76	$60.59	$86.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $57.34 / $90.00	Professional		$43.88	$57.34	$90.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $69.67 / $76.48	Facility		$62.47	$69.67	$76.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $63.00 / $91.93	Professional		$49.00	$63.00	$91.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.75 / $323.95 / $323.95	Facility		$302.75	$323.95	$323.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $406.80 / $449.78 / $603.38	Professional		$406.80	$449.78	$603.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.42 / $75.40 / $95.55	Facility		$62.42	$75.40	$95.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $94.61 / $131.00	Professional		$71.62	$94.61	$131.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $81.67 / $116.04	Professional		$57.28	$81.67	$116.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.13 / $76.42 / $95.55	Facility		$62.13	$76.42	$95.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $56.00 / $91.04	Professional		$35.00	$56.00	$91.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $70.73 / $121.29	Professional		$47.80	$70.73	$121.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $73.14 / $100.34	Professional		$62.12	$73.14	$100.34