Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $51.21 / $235.30	Facility		$49.28	$51.21	$235.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $51.21 / $80.08	Professional		$46.38	$51.21	$80.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $82.76 / $88.28	Professional		$55.18	$82.76	$88.28
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 $52.52 / $52.52 / $65.70	Professional		$52.52	$52.52	$65.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $82.76 / $102.82	Professional		$68.20	$82.76	$102.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.35 / $110.35 / $110.35	Facility		$110.35	$110.35	$110.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $62.81	Facility		$56.69	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $62.81	Professional		$45.85	$45.85	$62.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.44 / $501.46 / $606.29	Facility		$223.44	$501.46	$606.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $706.59 / $723.56 / $806.63	Professional		$706.59	$723.56	$806.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $76.34 / $110.35	Facility		$30.83	$76.34	$110.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $101.12 / $118.67	Professional		$30.83	$101.12	$118.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $112.56 / $248.29	Professional		$35.90	$112.56	$248.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $73.70 / $110.35	Facility		$30.83	$73.70	$110.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $66.95	Professional		$45.85	$45.85	$66.95
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $57.55 / $68.51	Professional		$39.79	$57.55	$68.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $57.96 / $110.35	Professional		$57.35	$57.96	$110.35