Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $29.51 / $44.67	Facility		$14.79	$29.51	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $39.81 / $81.28	Professional		$16.98	$39.81	$81.28
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.10 / $128.82 / $131.83	Professional	25	$63.10	$128.82	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $56.23	Professional		$34.67	$43.65	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $56.23 / $91.20	Facility		$14.13	$56.23	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $38.02	Professional		$15.14	$32.36	$38.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $44.67 / $72.44	Professional		$19.95	$44.67	$72.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $29.51 / $44.67	Facility		$15.49	$29.51	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $64.57	Facility		$28.18	$28.18	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $371.54	Professional		$269.15	$371.54	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $69.18	Facility		$17.38	$39.81	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $38.02 / $74.13	Professional		$16.98	$38.02	$74.13
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $128.82 / $131.83	Professional	25	$128.82	$128.82	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $52.48 / $112.20	Professional		$16.22	$52.48	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.90 / $70.79	Facility		$17.38	$38.90	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $81.28	Professional		$41.69	$42.66	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $48.98	Facility		$25.70	$25.70	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $57.54	Professional		$16.98	$33.11	$57.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $44.67 / $50.12	Professional		$10.00	$44.67	$50.12