Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $332.53	Facility		$30.00	$30.00	$332.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $40.00 / $40.00	Professional		$28.53	$40.00	$40.00
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 $21.53 / $21.53 / $21.53	Professional		$21.53	$21.53	$21.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $28.53 / $28.53	Professional		$28.53	$28.53	$28.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $44.32	Facility		$17.27	$17.27	$44.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $178.03 / $180.69	Facility		$80.00	$178.03	$180.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $189.44 / $285.30	Professional		$189.44	$189.44	$285.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $38.04 / $63.60	Facility		$30.00	$38.04	$63.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $36.14 / $38.04	Professional		$32.33	$36.14	$38.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $38.04 / $87.91	Professional		$34.24	$38.04	$87.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $38.04 / $63.60	Facility		$30.00	$38.04	$63.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $36.93	Professional		$14.68	$14.68	$36.93
United Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $22.16 / $36.93	Professional		$18.47	$22.16	$36.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $38.04 / $51.35	Professional		$38.04	$38.04	$51.35