Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $33.25 / $60.16	Facility		$32.00	$33.25	$60.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $33.25 / $52.18	Professional		$30.83	$33.25	$52.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $35.83 / $67.17	Professional		$30.45	$35.83	$67.17
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 $34.10 / $34.10 / $42.66	Professional		$34.10	$34.10	$42.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $52.48 / $71.65	Professional		$44.29	$52.48	$71.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $71.65 / $71.65	Facility		$71.65	$71.65	$71.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $69.00	Facility		$46.70	$46.70	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $46.70	Professional		$34.09	$34.09	$46.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $352.17 / $414.11	Facility		$160.41	$352.17	$414.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $425.75 / $435.96 / $563.17	Professional		$425.75	$435.96	$563.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $49.93 / $71.65	Facility		$21.06	$49.93	$71.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $65.92 / $71.65	Professional		$21.06	$65.92	$71.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $76.00 / $274.42	Professional		$68.06	$76.00	$274.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $47.87 / $71.65	Facility		$21.06	$47.87	$71.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $57.95	Professional		$34.09	$34.09	$57.95
United Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $74.09 / $87.18	Facility		$74.09	$74.09	$87.18
United Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $38.79 / $46.79	Professional		$27.19	$38.79	$46.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $39.58 / $71.65	Professional		$39.17	$39.58	$71.65