Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $16.80 / $44.39	Facility		$14.92	$16.80	$44.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $38.72 / $53.96	Professional		$17.16	$38.72	$53.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $42.91 / $47.00	Professional		$35.36	$42.91	$47.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $61.84 / $102.47	Facility		$16.37	$61.84	$102.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.58 / $37.15	Professional		$13.22	$31.58	$37.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $41.61 / $67.81	Professional		$18.02	$41.61	$67.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $29.69 / $29.69	Facility		$15.54	$29.69	$29.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $64.70	Facility		$24.21	$24.21	$64.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $90.29 / $90.29	Facility		$90.29	$90.29	$90.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $272.14 / $372.38	Professional		$156.41	$272.14	$372.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $40.40 / $62.93	Facility		$18.02	$40.40	$62.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $50.84 / $78.01	Professional		$22.71	$50.84	$78.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $41.61 / $79.95	Professional		$16.96	$41.61	$79.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $40.40 / $63.10	Facility		$18.02	$40.40	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $92.08	Professional		$39.88	$39.88	$92.08
United Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $45.33 / $67.76	Professional		$34.94	$45.33	$67.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $43.35 / $58.87	Professional		$18.14	$43.35	$58.87