Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $36.79 / $1,547.72	Facility		$28.08	$36.79	$1,547.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $35.25 / $48.33	Professional		$28.17	$35.25	$48.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $31.79 / $40.64	Professional		$29.21	$31.79	$40.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $36.82 / $57.99	Facility		$36.82	$36.82	$57.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $30.63 / $46.02	Professional		$21.85	$30.63	$46.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $35.15 / $65.93	Professional		$30.19	$35.15	$65.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $135.72 / $135.72	Facility		$31.79	$135.72	$135.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $39.00 / $48.00	Professional		$25.00	$39.00	$48.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $157.44 / $190.00	Facility		$66.39	$157.44	$190.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $225.09 / $225.09 / $295.35	Professional		$225.09	$225.09	$295.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $40.29 / $50.61	Facility		$31.69	$40.29	$50.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $43.73 / $96.30	Professional		$36.64	$43.73	$96.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $42.31 / $54.13	Professional		$35.24	$42.31	$54.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $40.29 / $50.75	Facility		$31.79	$40.29	$50.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $39.00 / $49.74	Professional		$26.00	$39.00	$49.74
United Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $40.54 / $65.65	Professional		$30.51	$40.54	$65.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $33.54 / $45.67	Professional		$28.71	$33.54	$45.67