Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $114.56 / $311.50	Facility		$52.76	$114.56	$311.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $56.98 / $116.57	Professional		$52.67	$56.98	$116.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $85.55 / $96.39	Professional		$85.55	$85.55	$96.39
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 $57.35 / $57.35 / $71.75	Professional		$57.35	$57.35	$71.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $85.31 / $90.37 / $150.61	Facility		$85.31	$90.37	$150.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $90.37 / $120.49	Professional		$84.34	$90.37	$120.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.49 / $120.49 / $120.49	Facility		$120.49	$120.49	$120.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $88.85	Facility		$84.33	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.80 / $587.62 / $695.21	Facility		$251.80	$587.62	$695.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $702.53 / $702.53 / $907.65	Professional		$702.53	$702.53	$907.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $83.38 / $120.49	Facility		$35.72	$83.38	$120.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $102.42 / $128.44	Professional		$35.72	$102.42	$128.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $126.51 / $210.86	Professional		$110.61	$126.51	$210.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $83.98 / $120.49	Facility		$35.72	$83.98	$120.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $94.72	Professional		$64.86	$64.86	$94.72
United Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $66.70 / $79.41	Professional		$45.82	$66.70	$79.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $67.73 / $120.49	Professional		$66.50	$67.73	$120.49