Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $42.28 / $917.00	Facility		$27.76	$42.28	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $41.88 / $65.89	Professional		$29.12	$41.88	$65.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $59.29 / $59.29	Professional		$59.29	$59.29	$59.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $98.85 / $183.80	Facility		$40.79	$98.85	$183.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $45.33 / $72.69	Professional		$30.44	$45.33	$72.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $56.72 / $73.69	Professional		$35.40	$56.72	$73.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $33.00 / $51.42	Facility		$29.44	$33.00	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $57.65 / $97.08	Professional		$37.88	$57.65	$97.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.93 / $170.86 / $170.86	Facility		$158.93	$170.86	$170.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $288.14 / $429.60	Professional		$218.54	$288.14	$429.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $46.75 / $77.78	Facility		$31.11	$46.75	$77.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $62.68 / $93.26	Professional		$42.45	$62.68	$93.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $56.21 / $98.16	Professional		$32.08	$56.21	$98.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $47.90 / $79.77	Facility		$31.40	$47.90	$79.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $60.20 / $98.24	Professional		$38.59	$60.20	$98.24
United Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $53.10 / $85.72	Professional		$38.93	$53.10	$85.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $48.60 / $67.88	Professional		$42.79	$48.60	$67.88