Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $48.98 / $912.01	Facility		$20.42	$48.98	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $89.13	Professional		$21.38	$28.84	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $31.62	Professional		$21.38	$25.12	$31.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $74.13 / $131.83	Facility		$30.90	$74.13	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $39.81	Professional		$20.42	$23.99	$39.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $54.95	Professional		$25.12	$33.88	$54.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $24.55	Facility		$23.99	$23.99	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $57.54	Professional		$25.12	$33.88	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $204.17	Professional		$158.49	$204.17	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $29.51 / $57.54	Facility		$21.88	$29.51	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $66.07	Professional		$21.38	$28.84	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $33.11	Professional		$20.89	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $57.54	Professional		$25.12	$45.71	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.90 / $53.70	Facility		$22.91	$30.90	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $56.23	Professional		$25.12	$34.67	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $44.67	Professional		$21.38	$28.18	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.70 / $30.20	Professional		$24.55	$25.70	$30.20