Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $21.30 / $78.83	Facility		$17.01	$21.30	$78.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.00 / $29.73	Professional		$16.78	$23.00	$29.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $28.56 / $31.83	Professional		$26.36	$28.56	$31.83
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $26.36 / $26.36 / $26.36	Professional	25	$26.36	$26.36	$26.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $19.57 / $22.18	Professional		$16.64	$19.57	$22.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $37.32 / $48.88	Professional		$24.28	$37.32	$48.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $32.02 / $33.46	Facility		$26.13	$32.02	$33.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $33.33	Professional		$29.16	$29.16	$33.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.53 / $151.53 / $151.53	Facility		$151.53	$151.53	$151.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $187.97 / $267.30	Professional		$155.88	$187.97	$267.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $24.69 / $34.15	Facility		$16.78	$24.69	$34.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $42.16 / $56.58	Professional		$33.47	$42.16	$56.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $38.51 / $54.20	Professional		$31.58	$38.51	$54.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $24.67 / $33.97	Facility		$16.78	$24.67	$33.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $60.76	Professional		$29.16	$29.16	$60.76
United Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $28.05 / $45.13	Professional		$20.14	$28.05	$45.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $31.76 / $43.41	Professional		$27.05	$31.76	$43.41