Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $54.60 / $55.65	Facility		$53.55	$54.60	$55.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $55.65 / $97.19	Professional		$46.15	$55.65	$97.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $85.14 / $119.91	Professional		$59.96	$85.14	$119.91
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 $57.07 / $57.07 / $71.40	Professional		$57.07	$57.07	$71.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $95.93 / $119.91	Professional		$74.66	$95.93	$119.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.52 / $79.52 / $119.91	Facility		$79.52	$79.52	$119.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $58.00	Facility		$56.94	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $58.00	Professional		$42.34	$42.34	$58.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $472.21 / $489.49 / $489.49	Facility		$472.21	$489.49	$489.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $593.54 / $593.54 / $882.68	Professional		$593.54	$593.54	$882.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $80.12 / $119.91	Facility		$28.97	$80.12	$119.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $102.40 / $136.50	Professional		$72.98	$102.40	$136.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $125.91 / $275.20	Professional		$91.73	$125.91	$275.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $80.12 / $119.91	Facility		$28.97	$80.12	$119.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $70.88	Professional		$42.34	$42.34	$70.88
United Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $54.07 / $64.37	Professional		$37.39	$54.07	$64.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $54.74 / $119.91	Professional		$53.88	$54.74	$119.91