Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.25 / $169.50 / $449.80	Facility		$94.25	$169.50	$449.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $97.95 / $153.69	Professional		$89.18	$97.95	$153.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $149.85 / $168.85	Professional		$105.53	$149.85	$168.85
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 $100.45 / $100.45 / $125.67	Professional		$100.45	$100.45	$125.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $158.30 / $211.06	Professional		$147.74	$158.30	$211.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.69 / $59.69 / $211.06	Facility		$59.69	$59.69	$211.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $134.37	Professional		$102.59	$102.59	$134.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $352.65 / $977.65 / $977.65	Facility		$352.65	$977.65	$977.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.91 / $1,056.91 / $1,537.05	Professional		$1,056.91	$1,056.91	$1,537.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $147.08 / $211.06	Facility		$60.40	$147.08	$211.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $189.95 / $211.06	Professional		$60.40	$189.95	$211.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $211.06 / $484.38	Professional		$110.30	$211.06	$484.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $140.54 / $211.06	Facility		$60.40	$140.54	$211.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $170.41	Professional		$102.59	$102.59	$170.41
United Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $112.75 / $134.22	Professional		$77.98	$112.75	$134.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $114.05 / $211.06	Professional		$112.36	$114.05	$211.06