Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $38.39 / $1,088.58	Facility		$29.70	$38.39	$1,088.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $40.04 / $55.02	Professional		$33.99	$40.04	$55.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $43.22 / $53.73	Professional		$35.82	$43.22	$53.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $103.93 / $203.32	Facility		$38.86	$103.93	$203.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $41.77 / $60.81	Professional		$32.45	$41.77	$60.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $43.76 / $176.52	Facility		$35.86	$43.76	$176.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $48.95 / $65.14	Professional		$39.40	$48.95	$65.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $10.03 / $35.49	Facility		$10.03	$10.03	$35.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $50.72 / $77.86	Professional		$37.81	$50.72	$77.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.01 / $182.73 / $182.73	Facility		$168.01	$182.73	$182.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $247.05 / $251.44 / $307.73	Professional		$247.05	$251.44	$307.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $39.95 / $62.69	Facility		$33.82	$39.95	$62.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $54.93 / $77.90	Professional		$42.11	$54.93	$77.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $41.47 / $62.97	Professional		$35.09	$41.47	$62.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $40.22 / $62.10	Facility		$33.63	$40.22	$62.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $55.61 / $100.76	Professional		$38.71	$55.61	$100.76
United Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $44.72 / $72.40	Professional		$33.22	$44.72	$72.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $36.63 / $49.53	Professional		$31.19	$36.63	$49.53