Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $37.15 / $912.01	Facility		$19.05	$37.15	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $74.13	Professional		$20.89	$27.54	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $29.51	Professional		$19.95	$25.12	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $79.43 / $134.90	Facility		$30.90	$79.43	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $37.15	Professional		$17.78	$23.44	$37.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $41.69	Professional		$22.39	$31.62	$41.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $22.39	Facility		$20.89	$20.89	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $52.48	Professional		$23.44	$32.36	$52.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $181.97	Professional		$151.36	$181.97	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $26.92 / $67.61	Facility		$20.42	$26.92	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $61.66	Professional		$19.95	$26.92	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $33.11	Professional		$19.05	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $52.48	Professional		$22.39	$39.81	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $26.30 / $45.71	Facility		$20.42	$26.30	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $52.48	Professional		$23.44	$33.11	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $43.65	Professional		$19.95	$27.54	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.91 / $27.54	Professional		$22.39	$22.91	$27.54