Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $28.08 / $130.00	Facility		$27.02	$28.08	$130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $28.08 / $52.98	Professional		$25.96	$28.08	$52.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $42.96 / $45.38	Professional		$42.96	$42.96	$45.38
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 $28.80 / $28.80 / $36.03	Professional		$28.80	$28.80	$36.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $45.38 / $60.50	Professional		$42.35	$45.38	$60.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $60.50 / $60.50	Facility		$60.50	$60.50	$60.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $48.99	Facility		$48.99	$48.99	$48.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $48.99	Professional		$35.76	$35.76	$48.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.93 / $330.88 / $383.18	Facility		$166.93	$330.88	$383.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $527.66 / $540.32 / $540.32	Professional		$527.66	$540.32	$540.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $42.16 / $60.50	Facility		$19.48	$42.16	$60.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $55.72 / $80.67	Professional		$19.48	$55.72	$80.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $66.55 / $136.12	Professional		$60.50	$66.55	$136.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $42.16 / $60.50	Facility		$19.48	$42.16	$60.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $52.23	Professional		$35.76	$35.76	$52.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $35.90 / $43.30	Professional		$25.16	$35.90	$43.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $36.36 / $60.50	Professional		$36.25	$36.36	$60.50