Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $34.72 / $35.39	Facility		$34.04	$34.72	$35.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $35.39 / $68.61	Professional		$32.72	$35.39	$68.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $54.14 / $54.14	Professional		$54.14	$54.14	$54.14
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 $36.29 / $36.29 / $45.40	Professional		$36.29	$36.29	$45.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $57.19 / $76.25	Professional		$53.38	$57.19	$76.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $76.25 / $76.25 / $76.25	Facility		$76.25	$76.25	$76.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $54.11	Facility		$54.11	$54.11	$54.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $54.11	Professional		$39.50	$39.50	$54.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.04 / $395.32 / $482.89	Facility		$158.04	$395.32	$482.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $503.22 / $511.56 / $688.35	Professional		$503.22	$511.56	$688.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $53.13 / $76.25	Facility		$24.56	$53.13	$76.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $73.97 / $101.66	Professional		$24.56	$73.97	$101.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $83.88 / $171.56	Professional		$76.25	$83.88	$171.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $53.13 / $76.25	Facility		$24.56	$53.13	$76.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $57.68	Professional		$39.50	$39.50	$57.68
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $45.84 / $54.57	Professional		$31.70	$45.84	$54.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $46.18 / $76.25	Professional		$45.68	$46.18	$76.25