Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $39.04 / $71.81	Facility		$29.10	$39.04	$71.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $34.00 / $45.49	Professional		$26.28	$34.00	$45.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $44.64 / $46.85	Professional		$40.22	$44.64	$46.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $80.27 / $146.53	Facility		$34.15	$80.27	$146.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $34.40 / $46.69	Professional		$25.63	$34.40	$46.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $55.80 / $64.09	Professional		$46.18	$55.80	$64.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.43 / $46.25 / $46.25	Facility		$30.43	$46.25	$46.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $39.47 / $62.89	Professional		$28.89	$39.47	$62.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.38 / $167.68 / $167.68	Facility		$154.38	$167.68	$167.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $222.87 / $222.87 / $298.80	Professional		$222.87	$222.87	$298.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $37.21 / $50.96	Facility		$28.12	$37.21	$50.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $52.82 / $75.78	Professional		$36.29	$52.82	$75.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $39.78 / $55.42	Professional		$39.78	$39.78	$55.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $36.82 / $50.75	Facility		$28.12	$36.82	$50.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $40.95 / $64.93	Professional		$28.89	$40.95	$64.93
United Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $41.62 / $60.84	Professional		$29.78	$41.62	$60.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $44.64 / $62.34	Professional		$39.20	$44.64	$62.34