Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.87 / $96.39	Facility		$19.05	$20.87	$96.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $22.08 / $30.59	Professional		$16.37	$22.08	$30.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $23.32 / $34.99	Professional		$20.59	$23.32	$34.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $168.33 / $202.99	Facility		$34.65	$168.33	$202.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $21.18 / $35.24	Professional		$17.32	$21.18	$35.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $27.98 / $40.06	Professional		$23.32	$27.98	$40.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $24.16 / $24.53	Facility		$18.16	$24.16	$24.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $27.18 / $43.90	Professional		$19.75	$27.18	$43.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $128.44 / $132.19	Facility		$128.44	$128.44	$132.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $153.85 / $201.90	Professional		$140.87	$153.85	$201.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $22.82 / $31.19	Facility		$17.39	$22.82	$31.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $29.94 / $55.82	Professional		$24.31	$29.94	$55.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $25.42 / $43.58	Professional		$19.62	$25.42	$43.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $22.24 / $30.59	Facility		$16.37	$22.24	$30.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $27.65 / $43.91	Professional		$20.29	$27.65	$43.91
United Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $24.34 / $34.79	Professional		$19.17	$24.34	$34.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $23.32 / $62.00	Professional		$19.78	$23.32	$62.00