Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $17.85 / $5,075.81	Facility		$11.40	$17.85	$5,075.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $22.91 / $37.18	Professional		$21.61	$22.91	$37.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
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 $26.00 / $26.00 / $33.63	Professional		$26.00	$26.00	$33.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $29.48 / $39.29	Facility		$29.48	$29.48	$39.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $43.23 / $43.23	Facility		$39.29	$43.23	$43.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $42.22	Facility		$38.15	$38.15	$42.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $32.43 / $41.92	Professional		$32.43	$32.43	$41.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $181.21 / $181.21	Facility		$80.00	$181.21	$181.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $276.89 / $276.89	Professional		$275.95	$276.89	$276.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $39.29 / $51.31	Facility		$19.10	$39.29	$51.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $36.15 / $45.20	Professional		$18.84	$36.15	$45.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $41.27 / $88.42	Professional		$21.60	$41.27	$88.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $38.15 / $50.16	Facility		$19.10	$38.15	$50.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $32.43 / $42.22	Professional		$32.43	$32.43	$42.22
United Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $55.06 / $64.78	Facility		$55.06	$55.06	$64.78
United Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $35.65 / $42.45	Professional		$24.66	$35.65	$42.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $36.19 / $39.29	Professional		$35.53	$36.19	$39.29