Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.53 / $21.31 / $395.23	Facility		$16.53	$21.31	$395.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $23.78 / $31.10	Professional		$19.79	$23.78	$31.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $26.25 / $26.25	Professional		$26.25	$26.25	$26.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $27.88 / $37.72	Facility		$27.88	$27.88	$37.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $21.10 / $30.37	Professional		$14.84	$21.10	$30.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $49.37 / $58.61	Professional		$42.55	$49.37	$58.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $22.72 / $28.14	Facility		$22.19	$22.72	$28.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.32 / $41.46	Professional		$18.00	$24.32	$41.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $112.86 / $112.86	Facility		$105.96	$112.86	$112.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $142.56 / $161.06 / $213.98	Professional		$142.56	$161.06	$213.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $23.96 / $31.23	Facility		$19.79	$23.96	$31.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $33.64 / $46.58	Professional		$26.04	$33.64	$46.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $27.21 / $39.13	Professional		$19.52	$27.21	$39.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.77 / $23.96 / $31.22	Facility		$19.77	$23.96	$31.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $25.26 / $49.96	Professional		$18.00	$25.26	$49.96
United Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $25.39 / $41.05	Professional		$19.46	$25.39	$41.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $26.02 / $35.71	Professional		$22.09	$26.02	$35.71