Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $35.94 / $174.83	Facility		$20.79	$35.94	$174.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $40.04 / $55.24	Professional		$21.05	$40.04	$55.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $39.47 / $45.44	Professional		$22.16	$39.47	$45.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $38.18 / $56.33	Facility		$24.83	$38.18	$56.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $28.18 / $45.90	Professional		$16.37	$28.18	$45.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $39.47 / $66.77	Professional		$24.61	$39.47	$66.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $52.00 / $52.00	Facility		$21.30	$52.00	$52.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $47.10 / $58.58	Professional		$27.96	$47.10	$58.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $113.24 / $113.24	Facility		$105.96	$113.24	$113.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $188.10 / $346.50	Professional		$147.91	$188.10	$346.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $39.82 / $57.66	Facility		$22.01	$39.82	$57.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $44.84 / $73.37	Professional		$24.90	$44.84	$73.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $47.70 / $63.20	Professional		$25.76	$47.70	$63.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $40.13 / $57.66	Facility		$21.84	$40.13	$57.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $47.00 / $61.25	Professional		$29.00	$47.00	$61.25
United Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $50.02 / $80.62	Professional		$36.22	$50.02	$80.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $40.81 / $55.34	Professional		$34.79	$40.81	$55.34