Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.31 / $51.28 / $78.18	Facility		$38.31	$51.28	$78.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $49.15 / $64.81	Professional		$39.43	$49.15	$64.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $60.14 / $63.11	Professional		$60.14	$60.14	$63.11
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $60.14 / $60.14 / $60.14	Professional	25	$60.14	$60.14	$60.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.57 / $131.55 / $259.94	Facility		$51.57	$131.55	$259.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $48.45 / $64.38	Professional		$38.82	$48.45	$64.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $62.88 / $62.88	Professional		$62.88	$62.88	$62.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $66.53 / $66.53	Facility		$43.65	$66.53	$66.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $63.33 / $100.03	Professional		$44.68	$63.33	$100.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $222.53 / $241.68 / $241.68	Facility		$222.53	$241.68	$241.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.19 / $309.19 / $389.46	Professional		$309.19	$309.19	$389.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.52 / $51.59 / $70.37	Facility		$40.52	$51.59	$70.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $76.08 / $101.94	Professional		$52.31	$76.08	$101.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $74.51	Professional		$57.31	$57.31	$74.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $51.50 / $69.80	Facility		$40.49	$51.50	$69.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $64.61 / $103.81	Professional		$46.69	$64.61	$103.81
United Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $67.76 / $100.38	Professional		$49.53	$67.76	$100.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $60.14 / $83.82	Professional		$52.73	$60.14	$83.82