Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $48.31 / $72.22	Professional		$38.89	$48.31	$72.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $30.59	Professional		$30.59	$30.59	$30.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $42.88 / $72.97	Professional		$32.72	$42.88	$72.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $34.76 / $51.45	Professional		$29.35	$34.76	$51.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $159.29 / $159.29	Facility		$27.81	$159.29	$159.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $63.36 / $109.96	Professional		$29.21	$63.36	$109.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.78 / $165.78 / $263.58	Facility		$165.78	$165.78	$263.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Professional		$624.00	$624.00	$624.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $65.20 / $114.27	Facility		$29.39	$65.20	$114.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $44.16 / $60.10	Professional		$32.38	$44.16	$60.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $24.53 / $41.22	Professional		$14.27	$24.53	$41.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $64.94 / $114.27	Facility		$29.54	$64.94	$114.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $64.77 / $107.06	Professional		$29.65	$64.77	$107.06
United Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $57.60 / $86.50	Professional		$45.47	$57.60	$86.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $27.81 / $39.96	Professional		$25.13	$27.81	$39.96