Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.27 / $48.19 / $49.12	Facility		$47.27	$48.19	$49.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $49.12 / $79.70	Professional		$45.41	$49.12	$79.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $75.15	Professional		$75.15	$75.15	$75.15
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 $50.37 / $50.37 / $63.02	Professional		$50.37	$50.37	$63.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $79.38 / $105.84	Professional		$74.09	$79.38	$105.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $105.84 / $105.84	Facility		$105.84	$105.84	$105.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Facility		$68.45	$68.45	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $68.45	Professional		$49.98	$49.98	$68.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $278.58 / $594.69 / $670.32	Facility		$278.58	$594.69	$670.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $880.61 / $901.76 / $977.48	Professional		$880.61	$901.76	$977.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $73.76 / $105.84	Facility		$34.09	$73.76	$105.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $95.28 / $105.84	Professional		$57.32	$95.28	$105.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $116.42 / $238.14	Professional		$105.84	$116.42	$238.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $70.72 / $105.84	Facility		$34.09	$70.72	$105.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $72.98	Professional		$49.98	$49.98	$72.98
United Facility/Professional Facility Modifier Low / Median / High Price $119.95 / $119.95 / $141.12	Facility		$119.95	$119.95	$141.12
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $63.64 / $75.75	Professional		$44.00	$63.64	$75.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $64.12 / $105.84	Professional		$63.41	$64.12	$105.84