Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.81 / $39.57 / $40.33	Facility		$38.81	$39.57	$40.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $44.92 / $82.27	Professional		$38.81	$44.92	$82.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $76.48 / $101.97	Professional		$71.31	$76.48	$101.97
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 $48.93 / $48.93 / $63.42	Professional		$48.93	$48.93	$63.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $58.04 / $85.16	Professional		$47.80	$58.04	$85.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.28 / $68.28 / $68.28	Facility		$68.28	$68.28	$68.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $87.14	Facility		$84.97	$84.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $84.97	Professional		$62.03	$62.03	$84.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $145.38 / $370.47 / $370.47	Facility		$145.38	$370.47	$370.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $518.09 / $531.63 / $566.92	Professional		$518.09	$531.63	$566.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $68.28 / $83.45	Facility		$44.92	$68.28	$83.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $68.28 / $135.26	Professional		$49.72	$68.28	$135.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $71.69 / $134.83	Professional		$63.11	$71.69	$134.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $68.28 / $84.97	Facility		$49.72	$68.28	$84.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $87.14	Professional		$62.03	$62.03	$87.14
United Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $69.47 / $86.84	Professional		$46.13	$69.47	$86.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $68.28 / $71.04	Professional		$66.98	$68.28	$71.04