Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.90 / $120.23	Facility		$28.84	$38.90	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $74.13	Professional		$26.92	$36.31	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $53.70	Professional		$37.15	$45.71	$53.70
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	25	$44.67	$44.67	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $79.43 / $144.54	Facility		$36.31	$79.43	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $45.71	Professional		$24.55	$33.11	$45.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $75.86	Professional		$38.02	$53.70	$75.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $46.77	Facility		$30.20	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $64.57	Professional		$28.84	$39.81	$64.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $36.31 / $69.18	Facility		$24.55	$36.31	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $66.07	Professional		$26.92	$37.15	$66.07
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $37.15 / $51.29	Professional	25	$37.15	$37.15	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $36.31 / $52.48	Facility		$27.54	$36.31	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $64.57	Professional		$28.84	$40.74	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $54.95	Professional		$26.30	$36.31	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $48.98 / $61.66	Professional		$26.30	$48.98	$61.66