Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $51.54 / $87.75	Facility		$41.31	$51.54	$87.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $43.34 / $60.17	Professional		$31.53	$43.34	$60.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $58.92 / $62.45	Professional		$50.08	$58.92	$62.45
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $58.92 / $58.92 / $68.34	Professional	25	$58.92	$58.92	$68.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $89.21 / $173.55	Facility		$37.95	$89.21	$173.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $46.03 / $61.64	Professional		$31.30	$46.03	$61.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $68.94 / $84.59	Professional		$49.35	$68.94	$84.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $61.18 / $61.18	Facility		$43.33	$61.18	$61.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $48.01 / $81.11	Professional		$33.59	$48.01	$81.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $224.03 / $243.53 / $243.53	Facility		$224.03	$243.53	$243.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.30 / $316.30 / $394.41	Professional		$316.30	$316.30	$394.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $49.44 / $67.04	Facility		$37.39	$49.44	$67.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $73.23 / $96.78	Professional		$47.00	$73.23	$96.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $57.71 / $72.95	Professional		$57.71	$57.71	$72.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $49.44 / $66.95	Facility		$37.39	$49.44	$66.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $49.21 / $82.08	Professional		$32.94	$49.21	$82.08
United Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $45.18 / $65.36	Professional		$32.68	$45.18	$65.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $58.92 / $82.07	Professional		$51.63	$58.92	$82.07