Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $31.75 / $218.40	Facility		$30.55	$31.75	$218.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $31.75 / $51.99	Professional		$30.05	$31.75	$51.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $40.72 / $40.72	Professional		$32.56	$40.72	$40.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $51.30 / $68.40	Facility		$51.30	$51.30	$68.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $68.40 / $68.40	Facility		$68.40	$68.40	$68.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $36.72	Professional		$26.81	$26.81	$36.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $353.81 / $365.94 / $365.94	Facility		$353.81	$365.94	$365.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.12 / $398.48 / $553.28	Professional		$389.12	$398.48	$553.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $47.33 / $68.40	Facility		$21.72	$47.33	$68.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $62.93 / $77.04	Professional		$21.72	$62.93	$77.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $45.60	Professional		$45.60	$45.60	$45.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $45.70 / $68.40	Facility		$21.72	$45.70	$68.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $41.33	Professional		$26.81	$26.81	$41.33
United Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $40.51 / $48.27	Professional		$28.04	$40.51	$48.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $40.40 / $68.40	Professional		$40.28	$40.40	$68.40