Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $40.15 / $50.82	Facility		$38.65	$40.15	$50.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $40.15 / $64.56	Professional		$36.79	$40.15	$64.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $70.13 / $70.13	Professional		$70.13	$70.13	$70.13
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 $44.86 / $44.86 / $58.09	Professional		$44.86	$44.86	$58.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $59.70 / $70.23	Professional		$49.17	$59.70	$70.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $70.23 / $70.23	Facility		$70.23	$70.23	$70.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $77.70	Facility		$67.20	$67.20	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $67.98	Professional		$49.06	$49.06	$67.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.85 / $324.51 / $324.51	Facility		$137.85	$324.51	$324.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $525.47 / $539.41 / $539.41	Professional		$525.47	$539.41	$539.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $70.23 / $86.52	Facility		$33.46	$70.23	$86.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $63.22 / $88.08	Professional		$32.81	$63.22	$88.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $39.00	Professional		$39.00	$39.00	$39.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $67.20 / $84.57	Facility		$33.46	$67.20	$84.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $71.64	Professional		$49.06	$49.06	$71.64
United Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $124.56	Facility		$105.88	$105.88	$124.56
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $62.46 / $74.34	Professional		$43.19	$62.46	$74.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $63.26 / $70.23	Professional		$62.24	$63.26	$70.23