Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.20 / $383.62 / $1,429.64	Facility		$121.20	$383.62	$1,429.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $102.14 / $486.84	Professional		$102.14	$102.14	$486.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $48.50 / $48.50	Professional		$48.50	$48.50	$48.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $113.17 / $113.17	Professional		$113.17	$113.17	$113.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $111.96 / $119.75 / $1,128.09	Facility		$111.96	$119.75	$1,128.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,079.34 / $1,079.34 / $1,079.34	Facility		$1,079.34	$1,079.34	$1,079.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $119.90	Professional		$119.90	$119.90	$119.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $208.00	Facility		$100.00	$100.00	$208.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $219.60 / $1,182.19	Facility		$102.14	$219.60	$1,182.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $836.26 / $2,499.00 / $7,474.80	Facility		$836.26	$2,499.00	$7,474.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $146.06 / $289.91	Facility		$102.14	$146.06	$289.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $119.90	Professional		$119.90	$119.90	$119.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $171.11 / $750.00	Professional		$126.75	$171.11	$750.00