Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $72.65 / $221.03	Facility		$34.20	$72.65	$221.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $73.69 / $119.57	Professional		$66.73	$73.69	$119.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $106.55 / $119.09	Professional		$94.60	$106.55	$119.09
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 $75.56 / $75.56 / $94.54	Professional		$75.56	$75.56	$94.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $29.25 / $36.56	Facility		$7.66	$29.25	$36.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $127.02 / $158.78	Professional		$104.94	$127.02	$158.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $13.87 / $158.78	Facility		$13.87	$13.87	$158.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $141.93	Facility		$115.38	$115.38	$141.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $115.38	Professional		$84.23	$84.23	$115.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $749.92 / $851.77 / $851.77	Facility		$749.92	$851.77	$851.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $860.74 / $860.74 / $1,236.53	Professional		$860.74	$860.74	$1,236.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $109.85 / $158.78	Facility		$46.07	$109.85	$158.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $142.90 / $302.26	Professional		$46.07	$142.90	$302.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.78 / $168.44 / $364.41	Professional		$158.78	$168.44	$364.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $110.65 / $158.78	Facility		$46.07	$110.65	$158.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $128.69	Professional		$84.23	$84.23	$128.69
United Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $85.99 / $106.09	Professional		$59.47	$85.99	$106.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $85.77 / $158.78	Professional		$85.69	$85.77	$158.78