Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $97.72	Facility		$32.36	$52.48	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $107.15	Professional		$39.81	$67.61	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $83.18	Professional		$52.48	$52.48	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $81.28 / $169.82	Facility		$39.81	$81.28	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $60.26 / $97.72	Professional		$33.11	$60.26	$97.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $131.83	Professional		$63.10	$102.33	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $39.81 / $79.43	Facility		$37.15	$39.81	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $138.04	Professional		$43.65	$79.43	$138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $660.69	Professional		$512.86	$660.69	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $69.18 / $107.15	Facility		$38.02	$69.18	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $109.65	Professional		$38.90	$67.61	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $67.61	Professional		$32.36	$33.88	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $213.80	Professional		$123.03	$144.54	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $69.18 / $107.15	Facility		$38.02	$69.18	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $138.04	Professional		$44.67	$81.28	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $123.03	Professional		$38.90	$69.18	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $83.18 / $100.00	Professional		$34.67	$83.18	$100.00