Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $53.70	Facility		$52.48	$52.48	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $87.10	Professional		$48.98	$57.54	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $117.49	Professional		$85.11	$85.11	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $69.18	Professional		$56.23	$56.23	$69.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $120.23	Professional		$83.18	$89.13	$120.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $120.23 / $120.23	Facility		$79.43	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $870.96	Professional		$588.84	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $102.33 / $154.88	Facility		$50.12	$102.33	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $112.20	Professional		$51.29	$57.54	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $89.13	Professional		$87.10	$87.10	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $93.33 / $169.82	Facility		$50.12	$93.33	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $123.03	Facility		$33.11	$52.48	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $75.86	Professional		$43.65	$63.10	$75.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23