Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $46.77	Professional		$26.30	$30.90	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $54.95	Professional		$35.48	$48.98	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $41.69	Professional		$24.55	$31.62	$41.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $72.44	Professional		$42.66	$52.48	$72.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $47.86 / $50.12	Facility		$38.02	$47.86	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $74.13	Professional		$28.18	$37.15	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $416.87	Professional		$41.69	$61.66	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $45.71 / $63.10	Facility		$32.36	$45.71	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.20 / $48.98	Professional		$26.30	$30.20	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $61.66	Facility		$30.90	$44.67	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $75.86	Professional		$28.18	$38.02	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $66.07	Professional		$33.88	$44.67	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12