Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $37.56 / $47.89	Facility		$23.37	$37.56	$47.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $39.20 / $56.60	Professional		$27.88	$39.20	$56.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $40.26 / $56.22	Professional		$33.93	$40.26	$56.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $88.56 / $164.00	Facility		$37.39	$88.56	$164.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $42.73 / $66.39	Professional		$27.50	$42.73	$66.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $53.32 / $69.31	Professional		$48.47	$53.32	$69.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $28.62 / $52.62	Facility		$25.54	$28.62	$52.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $49.44 / $78.31	Professional		$31.02	$49.44	$78.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.78 / $149.38 / $149.38	Facility		$137.78	$149.38	$149.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $193.31 / $246.98 / $428.03	Professional		$193.31	$246.98	$428.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $41.35 / $59.25	Facility		$27.86	$41.35	$59.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $57.41 / $82.73	Professional		$32.38	$57.41	$82.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $58.23 / $115.54	Professional		$28.47	$58.23	$115.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $41.20 / $59.17	Facility		$27.68	$41.20	$59.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $49.44 / $79.11	Professional		$31.02	$49.44	$79.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $54.26 / $80.20	Professional		$39.25	$54.26	$80.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $48.47 / $68.04	Professional		$42.79	$48.47	$68.04