Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $34.57 / $59.93	Facility		$32.58	$34.57	$59.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $35.44 / $117.79	Professional		$28.76	$35.44	$117.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $37.85 / $45.49	Professional		$37.85	$37.85	$45.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $37.59 / $43.18	Professional		$30.10	$37.59	$43.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $52.00 / $102.68	Professional		$40.50	$52.00	$102.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $35.13 / $37.47	Facility		$35.13	$35.13	$37.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $47.48 / $81.13	Professional		$33.79	$47.48	$81.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.22 / $180.13 / $194.80	Facility		$88.22	$180.13	$194.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $324.60 / $324.60 / $324.60	Professional		$324.60	$324.60	$324.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $41.76 / $70.14	Facility		$32.58	$41.76	$70.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $50.04 / $71.59	Professional		$37.85	$50.04	$71.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $50.19 / $73.90	Professional		$38.45	$50.19	$73.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $41.76 / $77.78	Facility		$32.58	$41.76	$77.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $51.12 / $99.37	Professional		$35.49	$51.12	$99.37
United Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $42.31 / $63.72	Professional		$31.90	$42.31	$63.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $37.85 / $52.99	Professional		$32.85	$37.85	$52.99