Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $190.14 / $488.77	Facility		$27.10	$190.14	$488.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $53.60 / $85.07	Professional		$21.98	$53.60	$85.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $37.26 / $37.26	Professional		$37.26	$37.26	$37.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $63.49 / $125.60	Facility		$21.54	$63.49	$125.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $48.49 / $81.84	Professional		$21.76	$48.49	$81.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $53.28 / $53.28 / $81.26	Facility		$53.28	$53.28	$81.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $62.64	Facility		$20.88	$20.88	$62.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $60.55 / $115.23	Professional		$23.85	$60.55	$115.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $116.23 / $116.23	Facility		$107.50	$116.23	$116.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $222.37 / $476.90 / $497.63	Professional		$222.37	$476.90	$497.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $54.91 / $104.46	Facility		$23.03	$54.91	$104.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $57.90 / $104.22	Professional		$28.71	$57.90	$104.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $53.90 / $98.75	Professional		$21.99	$53.90	$98.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $54.91 / $109.47	Facility		$23.04	$54.91	$109.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $60.89 / $127.72	Professional		$23.97	$60.89	$127.72
United Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $83.37 / $128.84	Professional		$60.63	$83.37	$128.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $57.90 / $78.62	Professional		$49.42	$57.90	$78.62