Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $33.34 / $36.49	Facility		$21.39	$33.34	$36.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $36.36 / $64.68	Professional		$31.54	$36.36	$64.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.95 / $55.25	Professional		$24.00	$30.95	$55.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $58.17 / $141.13	Facility		$39.35	$58.17	$141.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $42.39 / $42.39	Professional		$42.39	$42.39	$42.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $38.59 / $53.87	Professional		$33.44	$38.59	$53.87
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 $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $285.88 / $317.45	Facility		$104.44	$285.88	$317.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $731.46 / $760.72	Professional		$402.00	$731.46	$760.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $54.81 / $155.10	Facility		$34.24	$54.81	$155.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $48.88 / $59.17	Professional		$43.73	$48.88	$59.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $57.73 / $90.04	Professional		$50.42	$57.73	$90.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.74 / $54.81 / $155.10	Facility		$34.74	$54.81	$155.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $42.77	Professional		$20.99	$20.99	$42.77
United Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $23.34 / $35.36	Professional		$18.18	$23.34	$35.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $69.45	Professional		$51.45	$51.45	$69.45