Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $70.79 / $93.33	Facility		$57.54	$70.79	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $107.15	Professional		$58.88	$75.86	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $91.20	Professional		$52.48	$69.18	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $134.90 / $295.12	Facility		$72.44	$134.90	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $93.33	Professional		$38.02	$60.26	$93.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $128.82	Professional		$64.57	$81.28	$128.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $63.10 / $77.62	Facility		$61.66	$63.10	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $114.82	Professional		$56.23	$83.18	$114.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $602.56	Professional		$489.78	$602.56	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $83.18 / $125.89	Facility		$61.66	$83.18	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $109.65	Professional		$58.88	$77.62	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $63.10	Professional		$33.11	$43.65	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $120.23	Professional		$74.13	$91.20	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $125.89	Facility		$63.10	$87.10	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $120.23	Professional		$56.23	$83.18	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $134.90	Professional		$64.57	$87.10	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $93.33	Professional		$54.95	$75.86	$93.33