Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $19.41 / $22.89	Facility		$19.41	$19.41	$22.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $23.96 / $35.00	Professional		$19.55	$23.96	$35.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.00 / $20.00 / $20.00	Professional	52	$20.00	$20.00	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $37.63 / $43.66	Professional		$33.90	$37.63	$43.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $23.99 / $31.59	Professional		$18.64	$23.99	$31.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $40.75 / $55.00	Professional		$32.95	$40.75	$55.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $27.87 / $37.31	Facility		$19.12	$27.87	$37.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $51.98 / $96.37	Professional		$23.21	$51.98	$96.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $152.90 / $167.91 / $167.91	Facility		$152.90	$167.91	$167.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $249.02 / $320.39	Professional		$46.79	$249.02	$320.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $35.22 / $48.92	Facility		$25.36	$35.22	$48.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $40.00 / $48.86	Professional		$35.36	$40.00	$48.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $33.15 / $67.39	Professional		$22.67	$33.15	$67.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.59 / $35.17 / $48.17	Facility		$23.59	$35.17	$48.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $52.50 / $96.18	Professional		$24.32	$52.50	$96.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $35.54 / $51.71	Professional		$28.29	$35.54	$51.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $37.63 / $52.39	Professional		$32.85	$37.63	$52.39