Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $37.15 / $917.00	Facility		$17.20	$37.15	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $27.30 / $62.48	Professional		$21.09	$27.30	$62.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $27.30 / $32.26	Professional		$22.22	$27.30	$32.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $81.42 / $150.04	Facility		$32.46	$81.42	$150.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $23.84 / $40.19	Professional		$18.73	$23.84	$40.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $33.47 / $44.22	Professional		$25.18	$33.47	$44.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.47 / $26.38 / $26.38	Facility		$24.47	$26.38	$26.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $34.96 / $56.93	Professional		$25.88	$34.96	$56.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $113.54 / $123.22	Facility		$59.71	$113.54	$123.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $166.47 / $201.08	Professional		$166.47	$166.47	$201.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $27.27 / $47.45	Facility		$21.50	$27.27	$47.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $33.96 / $59.40	Professional		$27.90	$33.96	$59.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $29.26 / $45.86	Professional		$24.35	$29.26	$45.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $27.27 / $47.81	Facility		$21.50	$27.27	$47.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $36.08 / $59.13	Professional		$26.03	$36.08	$59.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $29.23 / $45.82	Professional		$21.51	$29.23	$45.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $23.90 / $32.97	Professional		$20.71	$23.90	$32.97