Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $67.61 / $251.19	Facility		$25.70	$67.61	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $58.88 / $93.33	Professional		$25.12	$58.88	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $75.86 / $112.20	Professional		$29.51	$75.86	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $85.11	Facility		$60.26	$77.62	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $61.66 / $104.71	Professional		$20.89	$61.66	$104.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $131.83	Facility		$52.48	$52.48	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $24.55 / $104.71	Facility		$23.99	$24.55	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $56.23 / $56.23	Facility		$42.66	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $74.13 / $131.83	Professional		$28.84	$74.13	$131.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $707.95	Professional		$467.74	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $61.66 / $141.25	Facility		$25.70	$61.66	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $58.88 / $134.90	Professional		$25.12	$58.88	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $208.93	Professional		$165.96	$194.98	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $61.66 / $141.25	Facility		$25.12	$61.66	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $72.44 / $144.54	Professional		$28.84	$72.44	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $102.33	Facility		$39.81	$39.81	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $58.88 / $109.65	Professional		$25.12	$58.88	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $104.71 / $117.49	Professional		$19.50	$104.71	$117.49