Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $45.41 / $208.00	Facility		$43.69	$45.41	$208.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $46.26 / $81.01	Professional		$42.84	$46.26	$81.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $69.45 / $78.26	Professional		$58.29	$69.45	$78.26
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 $46.56 / $46.56 / $58.26	Professional		$46.56	$46.56	$58.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $78.26 / $97.83	Professional		$60.47	$78.26	$97.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.25 / $64.25 / $97.83	Facility		$64.25	$64.25	$97.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $72.18	Facility		$72.18	$72.18	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $52.69 / $72.18	Professional		$52.69	$52.69	$72.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $330.85 / $556.78 / $619.59	Facility		$330.85	$556.78	$619.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.80 / $1,070.91 / $1,070.91	Professional		$1,045.80	$1,070.91	$1,070.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $67.69 / $97.83	Facility		$31.51	$67.69	$97.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $89.21 / $97.83	Professional		$59.87	$89.21	$97.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $99.79 / $220.12	Professional		$37.50	$99.79	$220.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $68.18 / $97.83	Facility		$31.51	$68.18	$97.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $52.69 / $76.95	Professional		$52.69	$52.69	$76.95
United Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $58.82 / $70.02	Professional		$40.68	$58.82	$70.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $58.96 / $97.83	Professional		$58.61	$58.96	$97.83