Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $2,572.00 / $9,897.00	Facility		$90.68	$2,572.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $90.68 / $156.90	Professional		$45.75	$90.68	$156.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $118.31 / $146.13	Professional		$117.89	$118.31	$146.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $270.83 / $594.08	Facility		$124.06	$270.83	$594.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $86.87 / $148.66	Professional		$46.08	$86.87	$148.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $97.17 / $171.84	Professional		$57.98	$97.17	$171.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $41.86 / $109.39	Facility		$41.86	$41.86	$109.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $109.16 / $170.12	Professional		$54.74	$109.16	$170.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $257.20	Facility		$55.00	$55.00	$257.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $437.39 / $837.36 / $973.95	Professional		$437.39	$837.36	$973.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $105.21 / $153.86	Facility		$49.17	$105.21	$153.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $130.00 / $202.63	Professional		$68.51	$130.00	$202.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $92.36 / $136.69	Professional		$43.73	$92.36	$136.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $105.84 / $153.96	Facility		$49.17	$105.84	$153.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $112.00 / $185.50	Professional		$56.81	$112.00	$185.50
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,668.00	Facility		$161.00	$1,058.00	$2,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $112.24 / $163.38	Professional		$83.52	$112.24	$163.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $107.96 / $151.13	Professional		$96.08	$107.96	$151.13