Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $40.07 / $4,983.32	Facility		$27.99	$40.07	$4,983.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.27 / $46.36	Professional		$27.99	$28.27	$46.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $40.07 / $40.07	Professional		$28.62	$40.07	$40.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $260.79 / $515.20	Facility		$103.04	$260.79	$515.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $25.61 / $25.61	Professional		$25.61	$25.61	$25.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $33.77 / $64.40	Professional		$20.87	$33.77	$64.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,785.56 / $1,785.56 / $1,785.56	Facility		$1,785.56	$1,785.56	$1,785.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $27.99 / $27.99	Facility		$22.33	$27.99	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.89 / $415.50 / $415.50	Facility		$96.89	$415.50	$415.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $109.60 / $109.60	Professional		$109.60	$109.60	$109.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $28.62 / $79.45	Facility		$27.99	$28.62	$79.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.55 / $46.18	Professional		$27.99	$28.55	$46.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $27.99 / $48.98	Professional		$8.36	$27.99	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $65.65	Facility		$27.99	$27.99	$65.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $27.99 / $27.99	Professional		$24.11	$27.99	$27.99
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.67 / $31.35	Professional		$27.99	$29.67	$31.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $27.99 / $39.19	Professional		$18.97	$27.99	$39.19