Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $84.87 / $89.12	Facility		$15.02	$84.87	$89.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $24.69 / $34.06	Professional		$16.93	$24.69	$34.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $30.49 / $40.47	Professional		$26.29	$30.49	$40.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $70.01 / $134.33	Facility		$24.33	$70.01	$134.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $21.89 / $24.19	Professional		$18.60	$21.89	$24.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $30.89 / $46.61	Professional		$23.21	$30.89	$46.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $71.50 / $71.50	Facility		$22.19	$71.50	$71.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $75.84	Facility		$33.67	$33.67	$75.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.54 / $125.54 / $125.54	Facility		$125.54	$125.54	$125.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $178.40 / $225.60	Professional		$161.03	$178.40	$225.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $28.27 / $88.66	Facility		$20.49	$28.27	$88.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $37.11 / $49.94	Professional		$30.33	$37.11	$49.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $36.42 / $65.81	Professional		$25.51	$36.42	$65.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $28.25 / $91.20	Facility		$20.49	$28.25	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $67.73	Professional		$24.70	$24.70	$67.73
United Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $30.09 / $46.42	Professional		$22.46	$30.09	$46.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $26.92 / $36.81	Professional		$22.92	$26.92	$36.81