Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $1,474.23 / $12,177.40	Facility		$55.46	$1,474.23	$12,177.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $56.85 / $65.86	Professional		$55.46	$56.85	$65.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $167.21 / $358.31	Facility		$64.56	$167.21	$358.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $51.09 / $973.44 / $2,940.00	Facility		$51.09	$973.44	$2,940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $343.50 / $343.50	Facility		$80.00	$343.50	$343.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $253.35 / $253.35 / $300.02	Professional		$253.35	$253.35	$300.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $66.67 / $139.36	Facility		$57.54	$66.67	$139.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $108.84 / $114.85	Professional		$72.81	$108.84	$114.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $69.33 / $94.18	Facility		$58.93	$69.33	$94.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $58.53	Professional		$57.78	$57.78	$58.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $63.34 / $85.51	Professional		$55.56	$63.34	$85.51