Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $36.40 / $239.16	Facility		$31.59	$36.40	$239.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $39.83 / $81.50	Professional		$33.85	$39.83	$81.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $58.73 / $86.88	Professional		$43.44	$58.73	$86.88
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 $41.71 / $41.71 / $54.16	Professional		$41.71	$41.71	$54.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $46.14 / $61.52	Facility		$46.14	$46.14	$61.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $55.37 / $69.66	Professional		$43.06	$55.37	$69.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $63.66 / $63.66	Facility		$61.52	$63.66	$63.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $76.52	Facility		$67.14	$67.14	$76.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $67.14	Professional		$49.01	$49.01	$67.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.60 / $340.47 / $340.47	Facility		$160.60	$340.47	$340.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $612.72 / $628.42 / $628.42	Professional		$612.72	$628.42	$628.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $61.52 / $79.02	Facility		$31.74	$61.52	$79.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $61.52 / $82.30	Professional		$52.29	$61.52	$82.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $64.59 / $117.39	Professional		$56.86	$64.59	$117.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $61.52 / $75.77	Facility		$31.74	$61.52	$75.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $72.37	Professional		$49.01	$49.01	$72.37
United Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $59.25 / $70.54	Professional		$40.98	$59.25	$70.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $59.85 / $61.52	Professional		$59.04	$59.85	$61.52