Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $57.44 / $99.19	Professional		$24.83	$57.44	$99.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $78.72 / $78.72	Professional		$78.72	$78.72	$78.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $89.97 / $97.68	Facility		$21.80	$89.97	$97.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $60.25 / $76.00	Professional		$22.53	$60.25	$76.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $82.19 / $85.00	Professional		$55.44	$82.19	$85.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $70.81 / $78.44	Facility		$25.83	$70.81	$78.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $71.06 / $136.16	Professional		$29.26	$71.06	$136.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.16 / $158.51 / $158.51	Facility		$154.16	$158.51	$158.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $313.04 / $539.48 / $705.90	Professional		$313.04	$539.48	$705.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $62.11 / $112.55	Facility		$26.72	$62.11	$112.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $90.38 / $125.70	Professional		$34.42	$90.38	$125.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $81.17 / $169.65	Professional		$30.12	$81.17	$169.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $61.90 / $113.51	Facility		$26.72	$61.90	$113.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $72.12 / $146.57	Professional		$30.12	$72.12	$146.57
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $77.50 / $115.98	Professional		$62.10	$77.50	$115.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $70.12 / $82.89	Professional		$62.00	$70.12	$82.89