Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $60.31 / $89.41	Facility		$33.92	$60.31	$89.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $49.61 / $70.95	Professional		$30.99	$49.61	$70.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $55.07 / $59.76	Professional		$46.18	$55.07	$59.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $40.63 / $57.90	Professional		$29.08	$40.63	$57.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $67.91 / $79.09	Professional		$56.96	$67.91	$79.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $244.39 / $244.39	Facility		$35.72	$244.39	$244.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $59.19 / $106.96	Professional		$36.90	$59.19	$106.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $197.89 / $197.89	Facility		$181.68	$197.89	$197.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $259.41 / $259.41 / $393.91	Professional		$259.41	$259.41	$393.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.53 / $50.97 / $75.40	Facility		$33.53	$50.97	$75.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $64.34 / $100.73	Professional		$44.64	$64.34	$100.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $71.17 / $82.71	Professional		$47.03	$71.17	$82.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.53 / $51.02 / $75.94	Facility		$33.53	$51.02	$75.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $64.34 / $117.22	Professional		$39.75	$64.34	$117.22
United Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $66.12 / $102.67	Professional		$49.68	$66.12	$102.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $56.07 / $76.06	Professional		$47.76	$56.07	$76.06