Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $27.71 / $29.99	Facility		$24.42	$27.71	$29.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $29.17 / $151.60	Professional		$22.09	$29.17	$151.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.20 / $40.50	Professional		$25.49	$29.20	$40.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $33.18 / $123.69	Facility		$29.50	$33.18	$123.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $29.75 / $33.29	Professional		$23.83	$29.75	$33.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $36.08 / $47.69	Professional		$28.28	$36.08	$47.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $38.57 / $61.29	Professional		$26.86	$38.57	$61.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $145.91 / $145.91	Facility		$134.74	$145.91	$145.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $190.59 / $190.59 / $197.08	Professional		$190.59	$190.59	$197.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $30.92 / $54.68	Facility		$25.19	$30.92	$54.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $43.61 / $62.30	Professional		$33.24	$43.61	$62.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $29.62 / $39.03	Professional		$26.66	$29.62	$39.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $31.10 / $55.29	Facility		$25.18	$31.10	$55.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $41.03 / $73.87	Professional		$27.73	$41.03	$73.87
United Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $36.47 / $55.28	Professional		$26.64	$36.47	$55.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $29.83 / $40.86	Professional		$25.40	$29.83	$40.86