Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $366.97 / $421.96	Facility		$47.10	$366.97	$421.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $67.04 / $88.48	Professional		$55.78	$67.04	$88.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $73.20 / $73.20	Professional		$58.35	$73.20	$73.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $68.84 / $95.62	Facility		$30.33	$68.84	$95.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $54.61 / $80.68	Professional		$42.46	$54.61	$80.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $137.69 / $163.55	Professional		$118.30	$137.69	$163.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.85 / $63.22 / $77.56	Facility		$61.85	$63.22	$77.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $68.25 / $117.33	Professional		$50.00	$68.25	$117.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.20 / $314.93 / $314.93	Facility		$295.20	$314.93	$314.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $399.92 / $451.71 / $593.92	Professional		$399.92	$451.71	$593.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $67.48 / $87.78	Facility		$55.80	$67.48	$87.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $93.77 / $129.83	Professional		$72.54	$93.77	$129.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $76.19 / $109.06	Professional		$55.04	$76.19	$109.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $67.48 / $87.76	Facility		$55.78	$67.48	$87.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $71.12 / $140.91	Professional		$50.00	$71.12	$140.91
United Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $71.23 / $118.96	Professional		$54.87	$71.23	$118.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $72.58 / $99.65	Professional		$61.56	$72.58	$99.65