Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $83.18	Professional		$38.02	$67.61	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $100.00	Professional		$50.12	$66.07	$100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $562.34	Professional		$501.19	$562.34	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $74.13 / $91.20	Facility		$50.12	$74.13	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $67.61 / $85.11	Professional		$30.90	$67.61	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $38.90	Professional		$35.48	$38.90	$38.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $70.79 / $91.20	Facility		$48.98	$70.79	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $53.70	Professional		$31.62	$46.77	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18