Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.97 / $60.12 / $61.28	Facility		$58.97	$60.12	$61.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $61.28 / $100.47	Professional		$57.81	$61.28	$100.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $105.63 / $105.63	Professional		$66.02	$105.63	$105.63
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 $62.84 / $62.84 / $78.62	Professional		$62.84	$62.84	$78.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $108.81 / $132.04	Professional		$82.34	$108.81	$132.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $132.04 / $132.04	Facility		$132.04	$132.04	$132.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $67.88	Professional		$67.88	$67.88	$67.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $659.83 / $707.18 / $707.18	Facility		$659.83	$707.18	$707.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $736.96 / $736.96 / $997.43	Professional		$736.96	$736.96	$997.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $91.36 / $132.04	Facility		$40.78	$91.36	$132.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $117.50 / $148.88	Professional		$40.78	$117.50	$148.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $134.68 / $297.08	Professional		$42.40	$134.68	$297.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $92.02 / $132.04	Facility		$40.78	$92.02	$132.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $123.79	Professional		$67.88	$67.88	$123.79
United Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $75.14 / $90.62	Professional		$52.64	$75.14	$90.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $76.87 / $132.04	Professional		$75.86	$76.87	$132.04