Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $43.65	Professional		$16.98	$24.55	$43.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	50	$107.15	$107.15	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $28.84	Professional		$18.20	$24.55	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $204.17	Facility		$34.67	$169.82	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $35.48	Professional		$18.20	$19.95	$35.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $40.74	Professional		$23.99	$29.51	$40.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.99 / $24.55	Facility		$18.20	$23.99	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $42.66	Professional		$19.50	$26.92	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $154.88 / $204.17	Professional		$26.30	$154.88	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.99 / $34.67	Facility		$17.38	$23.99	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $39.81	Professional		$16.98	$22.91	$39.81
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	50	$107.15	$107.15	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $33.11	Professional		$17.78	$22.91	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $50.12	Professional		$18.20	$25.12	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.44 / $33.88	Facility		$17.38	$23.44	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $43.65	Professional		$20.42	$27.54	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $33.88	Professional		$17.78	$23.44	$33.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $25.12	Professional		$19.95	$24.55	$25.12