Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $43.84 / $100.75	Facility		$42.18	$43.84	$100.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $43.84 / $71.13	Professional		$40.15	$43.84	$71.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $67.06	Professional		$67.06	$67.06	$67.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $44.96 / $56.24	Professional		$44.96	$44.96	$56.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $70.84 / $94.46	Facility		$70.84	$70.84	$94.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $70.84 / $94.46	Professional		$66.12	$70.84	$94.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $94.46 / $94.46 / $94.46	Facility		$94.46	$94.46	$94.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Facility		$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $62.81	Professional		$45.85	$45.85	$62.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $222.45 / $468.00 / $553.99	Facility		$222.45	$468.00	$553.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $596.48 / $610.79 / $662.10	Professional		$596.48	$610.79	$662.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $65.36 / $94.46	Facility		$28.17	$65.36	$94.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $86.90 / $96.90	Professional		$28.17	$86.90	$96.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $63.12 / $94.46	Facility		$28.17	$63.12	$94.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $66.95	Professional		$45.85	$45.85	$66.95
United Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $52.59 / $62.61	Professional		$36.36	$52.59	$62.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $52.62 / $94.46	Professional		$52.40	$52.62	$94.46