Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.21 / $91.99 / $17,473.50	Facility		$55.21	$91.99	$17,473.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.11 / $74.53	Professional		$55.57	$56.11	$74.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $54.67 / $54.67	Professional		$54.67	$54.67	$54.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.82 / $123.56 / $246.54	Facility		$48.82	$123.56	$246.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Professional		$60.80	$60.80	$60.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $42.99 / $56.38 / $12,454.71	Facility		$42.99	$56.38	$12,454.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $61.13 / $88.02	Professional		$53.96	$61.13	$88.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $9,347.79 / $9,347.79 / $9,347.79	Facility		$9,347.79	$9,347.79	$9,347.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $55.57 / $55.57	Facility		$52.42	$55.57	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $264.95 / $277.85	Facility		$75.00	$264.95	$277.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $226.89 / $226.89 / $226.89	Professional		$226.89	$226.89	$226.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $55.57 / $116.98	Facility		$54.67	$55.57	$116.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.68 / $91.69	Professional		$55.57	$56.68	$91.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $61.12 / $101.30	Professional		$54.12	$61.12	$101.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $55.57 / $99.20	Facility		$55.57	$55.57	$99.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $64.26	Professional		$55.57	$55.57	$64.26
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $58.90 / $61.86	Professional		$55.57	$58.90	$61.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $55.57 / $77.80	Professional		$51.39	$55.57	$77.80