Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $82.18 / $371.00	Facility		$21.55	$82.18	$371.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $27.41 / $90.81 / $253.39	Facility	CQ	$27.41	$90.81	$253.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $23.82 / $53.22	Professional		$16.32	$23.82	$53.22
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $22.84 / $39.27 / $55.04	Professional	CQ	$22.84	$39.27	$55.04
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $38.00 / $38.00 / $38.92	Professional	CQ	$38.00	$38.00	$38.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.68 / $87.42 / $173.76	Facility		$35.68	$87.42	$173.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $27.04 / $27.04	Professional		$23.96	$27.04	$27.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $35.82 / $114.19	Facility		$31.15	$35.82	$114.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $37.38 / $57.63	Professional		$31.15	$37.38	$57.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.06 / $34.35 / $34.35	Facility		$32.06	$34.35	$34.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $38.22 / $102.90	Professional		$21.33	$38.22	$102.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $149.85 / $169.15	Facility		$73.68	$149.85	$169.15
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $43.15 / $127.37 / $143.78	Facility	CQ	$43.15	$127.37	$143.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $216.50 / $268.95	Professional		$34.53	$216.50	$268.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $33.15 / $63.55	Facility		$22.04	$33.15	$63.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $33.04 / $48.99	Professional		$25.88	$33.04	$48.99
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $22.46 / $29.22 / $33.27	Professional	CQ	$22.46	$29.22	$33.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $123.00 / $211.00	Facility		$75.00	$123.00	$211.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $33.64 / $64.54	Professional		$25.23	$33.64	$64.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $42.24 / $105.33	Professional		$22.05	$42.24	$105.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.21 / $36.99	Professional		$25.70	$30.21	$36.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $31.15 / $80.00	Professional		$27.33	$31.15	$80.00