Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $71.11 / $1,242.03	Facility		$39.15	$71.11	$1,242.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $53.39 / $73.17	Professional		$44.30	$53.39	$73.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $47.85 / $55.15	Professional		$40.68	$47.85	$55.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.82 / $140.19 / $271.11	Facility		$63.82	$140.19	$271.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $56.04 / $81.23	Professional		$42.90	$56.04	$81.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $51.55 / $51.55	Facility		$51.55	$51.55	$51.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $64.59 / $88.52	Professional		$52.64	$64.59	$88.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $92.76 / $92.76	Facility		$41.96	$92.76	$92.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $67.34 / $103.69	Professional		$50.35	$67.34	$103.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $225.58 / $244.48 / $244.48	Facility		$225.58	$244.48	$244.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $332.01 / $412.88	Professional		$325.52	$332.01	$412.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $53.16 / $83.47	Facility		$45.14	$53.16	$83.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $73.75 / $117.26	Professional		$56.54	$73.75	$117.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $55.43 / $84.45	Professional		$46.90	$55.43	$84.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.97 / $53.43 / $82.67	Facility		$44.97	$53.43	$82.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $73.29 / $133.97	Professional		$51.23	$73.29	$133.97
United Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $58.36 / $94.49	Professional		$43.51	$58.36	$94.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $48.90 / $66.11	Professional		$41.68	$48.90	$66.11