Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.87 / $35.27 / $58.26	Facility		$19.87	$35.27	$58.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $30.33 / $48.60	Professional		$19.38	$30.33	$48.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $36.00 / $39.60	Professional		$30.60	$36.00	$39.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $30.02 / $44.71	Facility		$25.23	$30.02	$44.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.93 / $41.43	Professional		$19.73	$28.93	$41.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $39.78 / $52.84	Professional		$25.23	$39.78	$52.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $22.40 / $22.40	Facility		$22.40	$22.40	$22.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $31.39	Facility		$31.39	$31.39	$31.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $37.86 / $61.16	Professional		$23.10	$37.86	$61.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $114.90 / $114.90	Facility		$105.96	$114.90	$114.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $243.64 / $243.64	Professional		$150.33	$243.64	$243.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $35.11 / $57.00	Facility		$21.31	$35.11	$57.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $42.78 / $66.95	Professional		$28.87	$42.78	$66.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $32.36 / $41.66	Professional		$22.24	$32.36	$41.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $35.22 / $58.42	Facility		$21.24	$35.22	$58.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $40.76 / $73.92	Professional		$24.41	$40.76	$73.92
United Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $40.42 / $60.76	Professional		$30.31	$40.42	$60.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $37.22 / $50.48	Professional		$31.75	$37.22	$50.48