Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $41.10 / $94.90	Facility		$39.54	$41.10	$94.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $41.10 / $66.68	Professional		$37.99	$41.10	$66.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $62.87 / $62.87	Professional		$62.87	$62.87	$62.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $52.73	Professional		$42.14	$42.14	$52.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $66.41 / $66.41 / $88.55	Facility		$66.41	$66.41	$88.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $66.41 / $88.55	Professional		$61.99	$66.41	$88.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $88.55 / $88.55	Facility		$88.55	$88.55	$88.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $60.55	Facility		$60.55	$60.55	$60.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $44.20 / $60.55	Professional		$44.20	$44.20	$60.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $470.06 / $560.79	Facility		$298.27	$470.06	$560.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $942.93 / $965.57 / $965.57	Professional		$942.93	$965.57	$965.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $61.71 / $88.55	Facility		$28.52	$61.71	$88.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $81.47 / $90.45	Professional		$28.52	$81.47	$90.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $54.70 / $54.70	Professional		$54.70	$54.70	$54.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $60.55 / $88.55	Facility		$28.52	$60.55	$88.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $44.20 / $64.55	Professional		$44.20	$44.20	$64.55
United Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $100.35 / $118.06	Facility		$100.35	$100.35	$118.06
United Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $54.46 / $63.37	Professional		$36.82	$54.46	$63.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $53.11 / $88.55	Professional		$53.05	$53.11	$88.55