Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $108.00 / $108.00	Facility		$19.43	$108.00	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.43 / $42.65	Professional		$17.97	$19.43	$42.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $35.47 / $43.50	Professional		$23.00	$35.47	$43.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $39.07 / $87.97	Facility		$17.21	$39.07	$87.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $21.00 / $21.00	Professional		$17.85	$21.00	$21.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $27.56 / $120.00	Professional		$25.00	$27.56	$120.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $34.93 / $80.00	Facility		$30.00	$34.93	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $27.69 / $58.22	Professional		$21.63	$27.69	$58.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.99 / $222.53 / $254.84	Facility		$101.99	$222.53	$254.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $259.38 / $410.25	Professional		$256.41	$259.38	$410.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $21.98 / $52.36	Facility		$19.00	$21.98	$52.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $22.00 / $35.00	Professional		$20.00	$22.00	$35.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.45 / $49.87	Facility		$19.00	$20.45	$49.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $27.00 / $53.37	Professional		$23.00	$27.00	$53.37
United Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $52.33 / $87.89	Professional		$39.20	$52.33	$87.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $49.78 / $68.31	Professional		$23.92	$49.78	$68.31