Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $47.02 / $917.00	Facility		$23.81	$47.02	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $43.01 / $93.20	Professional		$29.39	$43.01	$93.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $40.81 / $55.00	Professional		$34.01	$40.81	$55.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $126.65 / $244.76	Facility		$55.99	$126.65	$244.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $33.88 / $58.18	Professional		$27.74	$33.88	$58.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $47.16 / $78.26	Professional		$37.40	$47.16	$78.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $11.67 / $35.56	Facility		$11.67	$11.67	$35.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $77.30 / $81.23	Facility		$64.84	$77.30	$81.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $64.45 / $123.00	Professional		$37.53	$64.45	$123.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $116.89 / $267.00	Facility		$83.79	$116.89	$267.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.04 / $568.04 / $568.04	Professional		$568.04	$568.04	$568.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $45.21 / $96.97	Facility		$31.42	$45.21	$96.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $48.45 / $147.86	Professional		$39.79	$48.45	$147.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $61.04 / $86.90	Professional		$38.42	$61.04	$86.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $45.15 / $97.51	Facility		$31.42	$45.15	$97.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $63.32 / $117.32	Professional		$37.53	$63.32	$117.32
United Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $57.51 / $98.03	Professional		$33.29	$57.51	$98.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $34.01 / $46.95	Professional		$29.54	$34.01	$46.95