Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $30.70 / $917.00	Facility		$15.64	$30.70	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $24.70 / $44.75	Professional		$19.19	$24.70	$44.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $25.88 / $29.70	Professional		$20.14	$25.88	$29.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.03 / $70.31 / $134.24	Facility		$28.03	$70.31	$134.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $24.36 / $37.17	Professional		$19.14	$24.36	$37.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $30.38 / $38.22	Professional		$22.18	$30.38	$38.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $22.47	Facility		$20.81	$20.81	$22.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $31.81 / $51.85	Professional		$23.55	$31.81	$51.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.13 / $102.96 / $111.53	Facility		$54.13	$102.96	$111.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $151.44 / $182.48	Professional		$151.44	$151.44	$182.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $24.74 / $43.18	Facility		$19.50	$24.74	$43.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $30.80 / $54.00	Professional		$25.30	$30.80	$54.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $26.56 / $42.07	Professional		$22.12	$26.56	$42.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $24.74 / $43.52	Facility		$19.50	$24.74	$43.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $32.82 / $53.68	Professional		$23.63	$32.82	$53.68
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $26.55 / $43.83	Professional		$19.48	$26.55	$43.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $21.67 / $29.88	Professional		$18.78	$21.67	$29.88