Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $65.34 / $83.03	Facility		$48.24	$65.34	$83.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $58.35 / $77.80	Professional		$30.37	$58.35	$77.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $63.08 / $88.85	Professional		$44.43	$63.08	$88.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $125.58 / $257.62	Facility		$70.29	$125.58	$257.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $42.29 / $47.46	Professional		$42.29	$42.29	$47.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $71.08 / $88.85	Professional		$55.40	$71.08	$88.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.02 / $77.02 / $88.85	Facility		$77.02	$77.02	$88.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $59.47	Professional		$43.41	$43.41	$59.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $415.82 / $422.04 / $422.04	Facility		$415.82	$422.04	$422.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $442.47 / $666.38	Professional		$442.47	$442.47	$666.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $66.69 / $88.85	Facility		$25.75	$66.69	$88.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $79.97 / $88.85	Professional		$54.38	$79.97	$88.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $29.70 / $29.70	Professional		$29.70	$29.70	$29.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $61.91 / $88.85	Facility		$25.75	$61.91	$88.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $73.87	Professional		$43.41	$43.41	$73.87
United Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $49.17 / $64.89	Professional		$33.24	$49.17	$64.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $57.66 / $88.85	Professional		$56.42	$57.66	$88.85