Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $126.30 / $164.54	Facility		$11.71	$126.30	$164.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $23.83 / $39.43	Professional		$14.60	$23.83	$39.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $36.25 / $36.25	Professional		$36.25	$36.25	$36.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $350.11 / $567.30	Facility		$115.93	$350.11	$567.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $27.91 / $32.83	Professional		$14.44	$27.91	$32.83
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $75.19 / $75.19	Facility		$75.19	$75.19	$75.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $114.23 / $114.23	Facility		$17.29	$114.23	$114.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Facility		$26.71	$26.71	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $34.52	Professional		$34.52	$34.52	$34.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $97.58 / $97.58	Facility		$97.58	$97.58	$97.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $242.72 / $319.50	Professional		$136.24	$242.72	$319.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $35.86 / $56.66	Facility		$19.14	$35.86	$56.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $43.15 / $67.54	Professional		$24.33	$43.15	$67.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $38.69 / $83.20	Professional		$18.67	$38.69	$83.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $35.85 / $58.37	Facility		$19.14	$35.85	$58.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $82.43	Professional		$34.52	$34.52	$82.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.54 / $61.10	Professional		$30.00	$40.54	$61.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $37.57 / $50.98	Professional		$32.02	$37.57	$50.98