Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $52.93 / $94.47	Facility		$40.54	$52.93	$94.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $52.92 / $78.04	Professional		$39.60	$52.92	$78.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $58.89 / $61.67	Professional		$52.42	$58.89	$61.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $62.17 / $179.13	Facility		$45.04	$62.17	$179.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $51.16 / $67.02	Professional		$39.46	$51.16	$67.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $72.73 / $103.14	Professional		$56.04	$72.73	$103.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $63.30	Facility		$63.30	$63.30	$63.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $68.18 / $109.70	Professional		$45.71	$68.18	$109.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.45 / $231.90 / $231.90	Facility		$213.45	$231.90	$231.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $306.52 / $402.01 / $402.01	Professional		$306.52	$402.01	$402.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $62.41 / $105.99	Facility		$43.41	$62.41	$105.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $78.64 / $108.88	Professional		$57.01	$78.64	$108.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $57.30 / $75.78	Professional		$44.33	$57.30	$75.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.35 / $62.80 / $107.60	Facility		$43.35	$62.80	$107.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $71.30 / $130.97	Professional		$48.29	$71.30	$130.97
United Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $66.77 / $100.93	Professional		$50.08	$66.77	$100.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $60.62 / $82.45	Professional		$51.63	$60.62	$82.45