Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.38 / $73.80 / $75.22	Facility		$72.38	$73.80	$75.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $76.64 / $157.85	Professional		$70.34	$76.64	$157.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $115.08 / $162.09	Professional		$82.09	$115.08	$162.09
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 $77.14 / $77.14 / $96.51	Professional		$77.14	$77.14	$96.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $112.30 / $130.69	Facility		$52.45	$112.30	$130.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $129.66 / $226.93	Professional		$113.46	$129.66	$226.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.64 / $120.64 / $162.09	Facility		$120.64	$120.64	$162.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $96.73	Facility		$95.80	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $96.73	Professional		$70.61	$70.61	$96.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $766.63 / $846.55 / $846.55	Facility		$766.63	$846.55	$846.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $855.46 / $855.46 / $1,243.73	Professional		$855.46	$855.46	$1,243.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $112.15 / $162.09	Facility		$47.05	$112.15	$162.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $143.44 / $198.00	Professional		$108.00	$143.44	$198.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $170.19 / $283.66	Professional		$148.80	$170.19	$283.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $108.30 / $162.09	Facility		$47.05	$108.30	$162.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $126.87	Professional		$70.61	$70.61	$126.87
United Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $87.82 / $104.55	Professional		$60.73	$87.82	$104.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $88.64 / $162.09	Professional		$87.52	$88.64	$162.09