Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $68.31 / $313.30	Facility		$65.73	$68.31	$313.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $68.31 / $118.91	Professional		$63.16	$68.31	$118.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $104.50 / $117.75	Professional		$90.34	$104.50	$117.75
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 $70.05 / $70.05 / $87.65	Professional		$70.05	$70.05	$87.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $117.75 / $147.19	Professional		$90.98	$117.75	$147.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.66 / $96.66 / $147.19	Facility		$96.66	$96.66	$147.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Facility		$102.60	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $102.60	Professional		$74.90	$74.90	$102.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $318.81 / $744.59 / $836.95	Facility		$318.81	$744.59	$836.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $914.49 / $936.45 / $1,065.00	Professional		$914.49	$936.45	$1,065.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $102.58 / $147.19	Facility		$45.51	$102.58	$147.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $132.47 / $169.27	Professional		$90.08	$132.47	$169.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $150.13 / $331.18	Professional		$45.20	$150.13	$331.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $102.58 / $147.19	Facility		$45.51	$102.58	$147.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $120.31	Professional		$74.90	$74.90	$120.31
United Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $86.90 / $101.13	Professional		$58.74	$86.90	$101.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $85.06 / $147.19	Professional		$84.65	$85.06	$147.19