Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $31.80 / $32.40	Facility		$31.19	$31.80	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $32.40 / $52.54	Professional		$30.57	$32.40	$52.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $61.35 / $61.35	Professional		$61.35	$61.35	$61.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $36.78 / $47.57	Professional		$36.78	$36.78	$47.57
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $47.26 / $66.73	Professional		$38.92	$47.26	$66.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $55.60 / $55.60 / $55.60	Facility		$55.60	$55.60	$55.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $44.34 / $55.62	Professional		$44.34	$44.34	$55.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.60 / $256.42 / $256.42	Facility		$101.60	$256.42	$256.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $390.45 / $391.82 / $391.82	Professional		$390.45	$391.82	$391.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $50.12 / $58.96	Facility		$18.91	$50.12	$58.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $47.26 / $63.94	Professional		$23.54	$47.26	$63.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $58.38 / $125.10	Professional		$35.90	$58.38	$125.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $48.38 / $55.60	Facility		$18.91	$48.38	$55.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $44.34 / $59.30	Professional		$44.34	$44.34	$59.30
United Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $52.54 / $65.68	Professional		$34.89	$52.54	$65.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $53.80 / $55.60	Professional		$50.66	$53.80	$55.60