Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $38.60 / $51.74	Facility		$24.41	$38.60	$51.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $36.65 / $51.74	Professional		$23.62	$36.65	$51.74
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	25	$85.57	$85.57	$85.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $47.05 / $58.70	Professional		$39.29	$47.05	$58.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $29.35 / $42.56	Professional		$20.11	$29.35	$42.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $64.70 / $70.63	Professional		$40.76	$64.70	$70.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $40.34 / $56.29	Facility		$38.45	$40.34	$56.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $48.26 / $80.12	Professional		$33.06	$48.26	$80.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $209.24 / $209.24	Facility		$193.75	$209.24	$209.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $266.08 / $321.17	Professional		$254.57	$266.08	$321.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $44.65 / $58.07	Facility		$24.24	$44.65	$58.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $62.23 / $95.49	Professional		$47.61	$62.23	$95.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $53.38 / $68.70	Professional		$50.32	$53.38	$68.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $44.66 / $58.07	Facility		$24.33	$44.66	$58.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $51.18 / $96.75	Professional		$33.51	$51.18	$96.75
United Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $49.33 / $78.31	Professional		$36.49	$49.33	$78.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $53.18 / $72.48	Professional		$45.28	$53.18	$72.48