Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $39.81	Facility		$38.02	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $138.04	Professional		$38.90	$57.54	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $123.03	Professional		$63.10	$79.43	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $89.13	Professional		$42.66	$57.54	$89.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Facility		$70.79	$70.79	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $85.11	Professional		$61.66	$61.66	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $562.34	Professional		$537.03	$562.34	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $60.26 / $151.36	Facility		$39.81	$60.26	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $97.72	Professional		$39.81	$52.48	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $165.96	Professional		$47.86	$102.33	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $70.79 / $154.88	Facility		$45.71	$70.79	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $85.11	Professional		$61.66	$61.66	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $107.15	Facility		$38.90	$54.95	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $87.10	Professional		$45.71	$69.18	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79