Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $137.41 / $362.37	Facility		$55.00	$137.41	$362.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $70.61 / $89.20	Professional		$44.60	$70.61	$89.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $240.09 / $425.70	Facility		$90.68	$240.09	$425.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $40.88 / $104.06	Professional		$5.00	$40.88	$104.06
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $107.78 / $137.51	Facility		$74.33	$107.78	$137.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $66.90 / $104.06	Professional		$52.03	$66.90	$104.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.58 / $60.58 / $74.33	Facility		$60.58	$60.58	$74.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $170.58 / $367.55	Facility		$65.75	$170.58	$367.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $70.50 / $144.00	Professional		$38.28	$70.50	$144.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.11 / $353.07 / $353.07	Facility		$182.11	$353.07	$353.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.65 / $371.65 / $557.48	Professional		$371.65	$371.65	$557.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $74.40 / $126.59	Facility		$46.83	$74.40	$126.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $74.33 / $97.31	Professional		$74.33	$74.33	$97.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $89.20 / $167.24	Professional		$48.31	$89.20	$167.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $96.53 / $321.55	Facility		$55.75	$96.53	$321.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $85.48 / $135.27	Professional		$41.23	$85.48	$135.27
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $41.69 / $57.43	Professional		$31.22	$41.69	$57.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $74.33 / $100.35	Professional		$28.99	$74.33	$100.35