Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $38.46 / $917.00	Facility		$19.23	$38.46	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $32.45 / $79.28	Professional		$23.73	$32.45	$79.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $33.29 / $35.95	Professional		$27.65	$33.29	$35.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $80.23 / $156.72	Facility		$34.17	$80.23	$156.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $27.61 / $47.41	Professional		$22.38	$27.61	$47.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $41.48 / $82.48	Professional		$30.42	$41.48	$82.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $5.07 / $28.98	Facility		$5.07	$5.07	$28.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $41.45 / $42.97	Facility		$32.76	$41.45	$42.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $41.65 / $70.73	Professional		$29.92	$41.65	$70.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $113.00 / $147.69	Facility		$67.88	$113.00	$147.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $324.60 / $324.60 / $324.60	Professional		$324.60	$324.60	$324.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $35.39 / $56.49	Facility		$25.39	$35.39	$56.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.40 / $67.01	Professional		$32.36	$39.40	$67.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $49.23 / $68.38	Professional		$31.21	$49.23	$68.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $35.31 / $58.96	Facility		$25.39	$35.31	$58.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $42.52 / $70.95	Professional		$30.23	$42.52	$70.95
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $34.03 / $55.08	Professional		$25.20	$34.03	$55.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $27.65 / $38.14	Professional		$24.02	$27.65	$38.14