Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.26 / $53.29 / $54.31	Facility		$52.26	$53.29	$54.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $54.31 / $88.13	Professional		$49.19	$54.31	$88.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $83.10 / $83.10	Professional		$83.10	$83.10	$83.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $62.72 / $69.69	Professional		$55.70	$62.72	$69.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $87.78 / $117.04	Professional		$81.93	$87.78	$117.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $117.04 / $117.04	Facility		$117.04	$117.04	$117.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Facility		$75.70	$75.70	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $55.27	Professional		$55.27	$55.27	$55.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $237.59 / $555.94 / $555.94	Facility		$237.59	$555.94	$555.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $582.86 / $582.86 / $877.80	Professional		$582.86	$582.86	$877.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $87.86 / $117.04	Facility		$33.92	$87.86	$117.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $107.68 / $117.04	Professional		$33.92	$107.68	$117.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $128.74 / $263.33	Professional		$117.04	$128.74	$263.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $75.70 / $117.04	Facility		$33.92	$75.70	$117.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $95.98	Professional		$55.27	$55.27	$95.98
United Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $64.78 / $75.38	Professional		$43.80	$64.78	$75.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $63.10 / $117.04	Professional		$63.03	$63.10	$117.04