Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $112.04 / $9,815.95	Facility		$62.72	$112.04	$9,815.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.72 / $76.70	Professional		$62.10	$62.72	$76.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $63.39	Professional		$62.10	$62.10	$63.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $184.03 / $367.19	Facility		$72.70	$184.03	$367.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $80.03 / $80.03	Professional		$80.03	$80.03	$80.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $74.22 / $134.52	Facility		$68.98	$74.22	$134.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $77.00 / $109.47	Professional		$63.39	$77.00	$109.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $10,974.43 / $10,974.43 / $10,974.43	Facility		$10,974.43	$10,974.43	$10,974.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $62.10 / $62.10	Facility		$58.58	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Professional		$62.10	$62.10	$62.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.71 / $310.50 / $314.95	Facility		$84.71	$310.50	$314.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $282.02 / $282.02 / $282.02	Professional		$282.02	$282.02	$282.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $63.39 / $127.93	Facility		$62.10	$63.39	$127.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $71.65 / $115.62	Professional		$62.10	$71.65	$115.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $68.31 / $132.22	Professional		$59.92	$68.31	$132.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $110.84	Facility		$62.10	$62.10	$110.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $84.89	Professional		$62.10	$62.10	$84.89
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $65.83 / $69.13	Professional		$62.10	$65.83	$69.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $63.88 / $86.94	Professional		$62.10	$63.88	$86.94