Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $54.37 / $8,420.68	Facility		$10.75	$54.37	$8,420.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $56.50 / $91.68	Professional		$53.30	$56.50	$91.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $91.31 / $91.31	Professional		$91.31	$91.31	$91.31
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 $57.94 / $72.48 / $72.48	Professional		$57.94	$72.48	$72.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $97.39 / $121.74	Professional		$75.23	$97.39	$121.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.74 / $121.74 / $121.74	Facility		$121.74	$121.74	$121.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $100.50	Facility		$77.09	$77.09	$100.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $77.09	Professional		$56.28	$56.28	$77.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.14 / $771.02 / $771.02	Facility		$645.14	$771.02	$771.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $779.14 / $779.14 / $1,044.90	Professional		$779.14	$779.14	$1,044.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $84.84 / $121.74	Facility		$39.21	$84.84	$121.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $110.96 / $128.04	Professional		$39.21	$110.96	$128.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $130.38 / $279.39	Professional		$121.74	$130.38	$279.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $81.34 / $121.74	Facility		$39.21	$81.34	$121.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $100.50	Professional		$56.28	$56.28	$100.50
United Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $72.25 / $87.13	Professional		$50.62	$72.25	$87.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $74.05 / $121.74	Professional		$72.95	$74.05	$121.74