Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $28.82 / $91.01	Facility		$22.97	$28.82	$91.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $30.50 / $38.89	Professional		$22.97	$30.50	$38.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $33.75 / $33.75	Professional		$32.93	$33.75	$33.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $76.56 / $125.02	Facility		$21.34	$76.56	$125.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $26.78 / $29.66	Professional		$22.77	$26.78	$29.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $37.86 / $42.81	Professional		$28.69	$37.86	$42.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $28.73 / $36.38	Facility		$28.73	$28.73	$36.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $30.95 / $38.63	Professional		$30.95	$30.95	$38.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.47 / $160.47 / $278.77	Facility		$160.47	$160.47	$278.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $399.91 / $399.91 / $399.91	Professional		$399.91	$399.91	$399.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $31.76 / $44.21	Facility		$22.97	$31.76	$44.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $45.41 / $65.72	Professional		$35.34	$45.41	$65.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $70.09 / $88.60	Professional		$64.09	$70.09	$88.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $31.71 / $43.29	Facility		$22.97	$31.71	$43.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $30.95 / $82.77	Professional		$30.95	$30.95	$82.77
United Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $36.10 / $55.51	Professional		$27.30	$36.10	$55.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $33.69 / $46.10	Professional		$28.71	$33.69	$46.10