Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $22.28 / $27.52	Facility		$18.63	$22.28	$27.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $24.33 / $31.48	Professional		$20.21	$24.33	$31.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $21.15 / $34.13	Professional		$20.86	$21.15	$34.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $63.02 / $126.38	Facility		$21.54	$63.02	$126.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.91 / $38.79	Professional		$20.89	$25.91	$38.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.22 / $25.85	Professional		$23.44	$25.22	$25.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $24.42 / $25.18	Facility		$22.69	$24.42	$25.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $28.69	Facility		$27.80	$27.80	$28.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $31.21 / $48.41	Professional		$23.97	$31.21	$48.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $109.00 / $118.37	Facility		$57.12	$109.00	$118.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.32 / $178.32 / $193.28	Professional		$178.32	$178.32	$193.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $29.22 / $46.42	Facility		$22.89	$29.22	$46.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $32.61 / $43.32	Professional		$26.05	$32.61	$43.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $25.78 / $43.75	Professional		$22.93	$25.78	$43.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $29.56 / $50.00	Facility		$22.89	$29.56	$50.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $33.79 / $59.76	Professional		$24.71	$33.79	$59.76
United Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $18.63 / $25.62	Facility		$18.63	$18.63	$25.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $25.98 / $40.51	Professional		$19.48	$25.98	$40.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $22.93 / $31.64	Professional		$19.88	$22.93	$31.64