Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $112.06 / $129.44	Facility		$17.12	$112.06	$129.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $23.69 / $37.86	Professional		$15.56	$23.69	$37.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.48 / $10.75 / $15.85	Professional	52	$7.48	$10.75	$15.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $26.39 / $41.23	Professional		$24.54	$26.39	$41.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.52 / $68.69 / $402.32	Facility		$52.52	$68.69	$402.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $23.00 / $37.29	Professional		$16.05	$23.00	$37.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $29.49 / $43.86	Professional		$21.44	$29.49	$43.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $26.98 / $27.32	Facility		$16.21	$26.98	$27.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $27.34 / $44.54	Professional		$19.00	$27.34	$44.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.84 / $100.65 / $100.65	Facility		$90.84	$100.65	$100.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $213.00 / $221.25	Professional		$126.34	$213.00	$221.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $26.33 / $41.17	Facility		$17.60	$26.33	$41.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $31.00 / $44.54	Professional		$24.26	$31.00	$44.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $26.66 / $46.18	Professional		$17.57	$26.66	$46.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $26.31 / $41.00	Facility		$17.53	$26.31	$41.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $27.87 / $45.39	Professional		$19.00	$27.87	$45.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $25.30 / $35.44	Professional		$20.35	$25.30	$35.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $25.41 / $62.00	Professional		$21.92	$25.41	$62.00