Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.74 / $403.26 / $917.00	Facility		$26.74	$403.26	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $37.42 / $90.91	Professional		$26.73	$37.42	$90.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $32.21 / $66.18	Professional		$32.21	$32.21	$66.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $93.48 / $172.94	Facility		$38.58	$93.48	$172.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $38.71 / $54.59	Professional		$26.93	$38.71	$54.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $45.76 / $61.79	Professional		$35.15	$45.76	$61.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $34.38 / $36.02	Facility		$32.34	$34.38	$36.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $39.04 / $44.59	Facility		$35.22	$39.04	$44.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $45.88 / $72.02	Professional		$35.06	$45.88	$72.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $158.93 / $186.63	Facility		$69.76	$158.93	$186.63
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 $28.28 / $40.52 / $65.36	Facility		$28.28	$40.52	$65.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $51.96 / $63.17	Professional		$39.84	$51.96	$63.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.70 / $89.80	Professional		$38.90	$64.70	$89.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $40.52 / $72.45	Facility		$28.17	$40.52	$72.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $47.66 / $77.87	Professional		$35.10	$47.66	$77.87
United Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $37.72 / $67.15	Professional		$27.43	$37.72	$67.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $32.43 / $46.09	Professional		$28.98	$32.43	$46.09