Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $23.80 / $50.92	Facility		$19.67	$23.80	$50.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $23.80 / $31.98	Professional		$12.39	$23.80	$31.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $25.37 / $36.24	Professional		$18.12	$25.37	$36.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $51.22 / $105.08	Facility		$28.67	$51.22	$105.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $17.25 / $19.36	Professional		$17.25	$17.25	$19.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $27.18 / $36.24	Professional		$25.37	$27.18	$36.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.41 / $31.41 / $36.24	Facility		$31.41	$31.41	$36.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $24.26	Facility		$24.26	$24.26	$24.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $17.71 / $24.26	Professional		$17.71	$17.71	$24.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $172.14 / $172.14	Facility		$85.00	$172.14	$172.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.48 / $180.48 / $271.80	Professional		$180.48	$180.48	$271.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $27.21 / $36.24	Facility		$10.51	$27.21	$36.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $32.61 / $36.24	Professional		$22.18	$32.61	$36.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $12.10	Professional		$12.10	$12.10	$12.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $25.70 / $36.24	Facility		$10.51	$25.70	$36.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $17.71 / $30.13	Professional		$17.71	$17.71	$30.13
United Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $20.05 / $26.27	Professional		$13.56	$20.05	$26.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $24.17 / $36.24	Professional		$23.02	$24.17	$36.24