Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $18.89 / $24.48	Professional		$15.56	$18.89	$24.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $19.23 / $24.05	Professional		$16.48	$19.23	$24.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $21.50 / $109.75	Facility		$11.58	$21.50	$109.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $14.47 / $16.32	Professional		$12.33	$14.47	$16.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $24.04 / $24.04	Professional		$24.04	$24.04	$24.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $16.32 / $19.68	Facility		$13.94	$16.32	$19.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $20.90 / $26.08	Facility		$16.44	$20.90	$26.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $21.86 / $36.10	Professional		$16.21	$21.86	$36.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $86.93 / $86.93	Facility		$80.00	$86.93	$86.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $130.79 / $165.68	Professional		$111.25	$130.79	$165.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $19.78 / $31.95	Facility		$15.35	$19.78	$31.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.71 / $31.29	Professional		$18.84	$22.71	$31.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $24.75 / $45.25	Professional		$15.64	$24.75	$45.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $19.94 / $30.78	Facility		$15.35	$19.94	$30.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $22.34 / $38.76	Professional		$16.30	$22.34	$38.76
United Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $19.67 / $28.80	Professional		$16.34	$19.67	$28.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $19.23 / $26.82	Professional		$16.84	$19.23	$26.82