Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $93.03 / $2,155.26	Facility		$55.64	$93.03	$2,155.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $70.67	Professional		$55.65	$56.20	$70.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $77.13 / $77.13	Professional		$77.13	$77.13	$77.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $97.99 / $193.26	Facility		$38.72	$97.99	$193.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $61.03 / $61.03	Professional		$61.03	$61.03	$61.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $56.59 / $2,585.41	Facility		$39.32	$56.59	$2,585.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $61.22 / $83.47	Professional		$55.09	$61.22	$83.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,960.20 / $4,960.20 / $4,960.20	Facility		$4,960.20	$4,960.20	$4,960.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $55.65 / $55.65	Facility		$52.50	$55.65	$55.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Professional		$55.65	$55.65	$55.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $259.25 / $278.25	Facility		$75.00	$259.25	$278.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,122.62 / $2,122.62 / $2,122.62	Professional		$2,122.62	$2,122.62	$2,122.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $55.65 / $80.69	Facility		$55.09	$55.65	$80.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.76 / $91.82	Professional		$55.65	$56.76	$91.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $61.21 / $97.38	Professional		$54.70	$61.21	$97.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $55.65 / $81.47	Facility		$55.65	$55.65	$81.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $64.95	Professional		$55.65	$55.65	$64.95
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.99 / $61.95	Professional		$55.65	$58.99	$61.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $55.65 / $77.91	Professional		$51.97	$55.65	$77.91