Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $73.47 / $338.00	Facility		$70.70	$73.47	$338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $73.47 / $119.21	Professional		$66.84	$73.47	$119.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $112.40 / $112.40	Professional		$112.40	$112.40	$112.40
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 $75.34 / $75.34 / $94.26	Professional		$75.34	$75.34	$94.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $118.73 / $158.31	Professional		$110.82	$118.73	$158.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.76 / $124.76 / $158.31	Facility		$124.76	$124.76	$158.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $734.34 / $734.34	Facility		$264.48	$734.34	$734.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $792.37 / $792.37 / $1,152.08	Professional		$792.37	$792.37	$1,152.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $109.53 / $158.31	Facility		$45.29	$109.53	$158.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $139.44 / $158.31	Professional		$45.29	$139.44	$158.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $161.47 / $356.20	Professional		$50.80	$161.47	$356.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $105.77 / $158.31	Facility		$45.29	$105.77	$158.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $94.72	Professional		$64.86	$64.86	$94.72
United Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $83.45 / $100.65	Professional		$58.47	$83.45	$100.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $84.87 / $158.31	Professional		$84.25	$84.87	$158.31