Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $157.47 / $474.45	Facility		$55.40	$157.47	$474.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $54.11 / $66.56	Professional		$40.72	$54.11	$66.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $44.92 / $51.99	Professional		$35.93	$44.92	$51.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $238.80 / $416.04	Facility		$92.42	$238.80	$416.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $39.68 / $46.41	Professional		$5.00	$39.68	$46.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $112.29 / $420.61	Facility		$71.64	$112.29	$420.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $74.65 / $104.80	Professional		$52.40	$74.65	$104.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $104.80 / $104.80	Facility		$74.86	$104.80	$104.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $156.26 / $347.68	Facility		$52.31	$156.26	$347.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $51.44 / $126.37	Professional		$39.68	$51.44	$126.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $355.59 / $355.59	Facility		$125.97	$355.59	$355.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $74.86 / $123.96	Professional		$67.08	$74.86	$123.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.90 / $74.86 / $82.35	Facility		$53.90	$74.86	$82.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $74.86 / $125.97	Professional		$67.37	$74.86	$125.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $116.48 / $159.41 / $275.74	Facility		$116.48	$159.41	$275.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $74.86 / $187.36	Facility		$54.52	$74.86	$187.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $57.64 / $107.07	Professional		$39.68	$57.64	$107.07
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $42.83 / $55.00	Professional		$31.44	$42.83	$55.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $36.97 / $74.86	Professional		$29.20	$36.97	$74.86