Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $35.04 / $39.77	Facility		$26.99	$35.04	$39.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $35.51 / $47.72	Professional		$22.85	$35.51	$47.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $38.40 / $54.08	Professional		$26.50	$38.40	$54.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.79 / $76.43 / $156.82	Facility		$42.79	$76.43	$156.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $28.88	Professional		$25.74	$25.74	$28.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $43.26 / $54.08	Professional		$33.72	$43.26	$54.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $54.08	Facility		$47.12	$47.12	$54.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Facility		$36.21	$36.21	$36.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $36.21	Professional		$26.43	$26.43	$36.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $256.88 / $256.88	Facility		$109.78	$256.88	$256.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $269.32 / $405.60	Professional		$269.32	$269.32	$405.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $40.61 / $54.08	Facility		$15.68	$40.61	$54.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $47.35 / $54.08	Professional		$33.10	$47.35	$54.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.10 / $18.10	Professional		$18.10	$18.10	$18.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $38.35 / $54.08	Facility		$15.68	$38.35	$54.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $44.96	Professional		$26.43	$26.43	$44.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $29.94 / $39.15	Professional		$20.23	$29.94	$39.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $34.94 / $54.08	Professional		$34.36	$34.94	$54.08