Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $40.74 / $50.97	Professional		$29.25	$40.74	$50.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $34.86 / $53.87	Professional		$33.47	$34.86	$53.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $47.49 / $155.79	Facility		$15.89	$47.49	$155.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $18.51 / $18.51	Professional		$18.51	$18.51	$18.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $36.75 / $37.60	Professional		$35.65	$36.75	$37.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $102.48 / $112.63	Professional		$102.48	$102.48	$112.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $182.97 / $193.94	Facility		$77.70	$182.97	$193.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $231.03 / $231.03 / $312.75	Professional		$231.03	$231.03	$312.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $35.69 / $51.69	Facility		$27.53	$35.69	$51.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $32.75 / $39.53	Professional		$32.75	$32.75	$39.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $23.88 / $39.02	Professional		$20.98	$23.88	$39.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $36.99 / $51.57	Facility		$25.06	$36.99	$51.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $48.92 / $70.70	Professional		$48.92	$48.92	$70.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $31.91 / $46.31	Professional		$26.56	$31.91	$46.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $52.88	Professional		$37.77	$37.77	$52.88