Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.62 / $28.00 / $30.24	Facility		$27.62	$28.00	$30.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $28.81 / $37.56	Professional		$21.91	$28.81	$37.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $21.83 / $21.83	Professional		$21.83	$21.83	$21.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $54.26 / $116.98	Facility		$33.72	$54.26	$116.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $35.13 / $35.13	Professional		$35.13	$35.13	$35.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $28.60 / $28.60	Professional		$26.55	$28.60	$28.60
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 $49.97 / $49.97 / $49.97	Facility		$49.97	$49.97	$49.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $199.56 / $202.54	Facility		$85.00	$199.56	$202.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $418.74 / $435.49	Professional		$319.80	$418.74	$435.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $42.64 / $88.51	Facility		$28.37	$42.64	$88.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $40.51 / $42.64	Professional		$36.24	$40.51	$42.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $47.84 / $74.62	Professional		$41.79	$47.84	$74.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $42.64 / $88.51	Facility		$28.37	$42.64	$88.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $35.45	Professional		$17.39	$17.39	$35.45
United Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $19.34 / $29.30	Professional		$15.07	$19.34	$29.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $42.64 / $57.56	Professional		$42.64	$42.64	$57.56