Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $15.98 / $25.43	Professional		$13.11	$15.98	$25.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $24.34 / $25.81	Professional		$22.64	$24.34	$25.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $70.76 / $70.76	Facility		$70.76	$70.76	$70.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $16.13 / $20.88	Professional		$12.68	$16.13	$20.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $25.56 / $44.03	Professional		$23.50	$25.56	$44.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $17.50 / $17.50	Facility		$17.50	$17.50	$17.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $39.36 / $96.18	Professional		$15.47	$39.36	$96.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.42 / $109.87 / $109.87	Facility		$101.42	$109.87	$109.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $165.54 / $210.08	Professional		$35.63	$165.54	$210.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $23.34 / $31.64	Facility		$17.11	$23.34	$31.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $25.78 / $33.90	Professional		$23.89	$25.78	$33.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $21.76 / $25.54	Professional		$16.85	$21.76	$25.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $23.31 / $31.16	Facility		$15.92	$23.31	$31.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $38.59 / $95.05	Professional		$15.98	$38.59	$95.05
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $24.81 / $39.58	Professional		$19.73	$24.81	$39.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $24.34 / $33.76	Professional		$21.26	$24.34	$33.76