Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $1,067.04 / $6,328.17	Facility		$44.74	$1,067.04	$6,328.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $44.27 / $58.47	Professional		$35.56	$44.27	$58.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $35.56 / $77.38	Facility		$35.56	$35.56	$77.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $35.56 / $35.56	Professional		$35.56	$35.56	$35.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $41.63 / $887.04	Facility		$23.13	$41.63	$887.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $704.20 / $704.20 / $704.20	Facility		$704.20	$704.20	$704.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Facility		$88.54	$88.54	$88.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $206.92 / $685.00 / $709.98	Facility		$206.92	$685.00	$709.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $664.56 / $664.56 / $910.88	Professional		$664.56	$664.56	$910.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $42.84 / $98.88	Facility		$36.40	$42.84	$98.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $32.13 / $107.29	Professional		$32.13	$32.13	$107.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $57.49 / $77.23	Professional		$48.35	$57.49	$77.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $42.84 / $98.69	Facility		$38.21	$42.84	$98.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $88.54 / $88.54	Professional		$50.88	$88.54	$88.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Professional		$42.84	$42.84	$42.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $26.25 / $41.80	Professional		$21.00	$26.25	$41.80