Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $197.73 / $419.59	Facility		$50.00	$197.73	$419.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $62.72 / $82.90	Professional		$51.90	$62.72	$82.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $54.47 / $67.01	Professional		$49.85	$54.47	$67.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.48 / $236.41 / $289.81	Facility		$49.48	$236.41	$289.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $51.40 / $78.41	Professional		$40.09	$51.40	$78.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $88.00 / $130.49	Professional		$64.97	$88.00	$130.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $59.85 / $73.23	Facility		$58.34	$59.85	$73.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $63.91 / $110.10	Professional		$47.00	$63.91	$110.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $278.55 / $297.30 / $297.30	Facility		$278.55	$297.30	$297.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $377.46 / $424.58 / $559.79	Professional		$377.46	$424.58	$559.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $63.35 / $82.68	Facility		$52.38	$63.35	$82.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $88.31 / $122.27	Professional		$68.45	$88.31	$122.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $72.01 / $102.66	Professional		$51.25	$72.01	$102.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $63.19 / $82.09	Facility		$52.04	$63.19	$82.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $66.83 / $132.44	Professional		$47.00	$66.83	$132.44
United Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $66.15 / $109.63	Professional		$51.16	$66.15	$109.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $68.34 / $93.81	Professional		$57.98	$68.34	$93.81