Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $31.20 / $33.70	Facility		$30.78	$31.20	$33.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $31.20 / $42.43	Professional		$15.18	$31.20	$42.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $57.01 / $57.01	Professional		$57.01	$57.01	$57.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $60.83 / $130.35	Facility		$36.72	$60.83	$130.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Professional		$39.15	$39.15	$39.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $35.63 / $47.51	Professional		$29.58	$35.63	$47.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $55.68	Facility		$55.68	$55.68	$55.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $222.35 / $225.67	Facility		$85.00	$222.35	$225.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $332.59 / $356.33	Professional		$319.80	$332.59	$356.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $47.51 / $79.69	Facility		$31.20	$47.51	$79.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $45.13 / $54.08	Professional		$40.38	$45.13	$54.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $53.31 / $83.14	Professional		$46.56	$53.31	$83.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $47.51 / $80.70	Facility		$31.20	$47.51	$80.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $39.50	Professional		$19.38	$19.38	$39.50
United Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $22.31 / $32.65	Professional		$16.79	$22.31	$32.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $47.51 / $64.14	Professional		$47.51	$47.51	$64.14