Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $31.73 / $69.93	Facility		$9.90	$31.73	$69.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $52.58 / $94.91	Professional		$36.50	$52.58	$94.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $84.98 / $90.65	Professional		$35.27	$84.98	$90.65
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 $53.93 / $53.93 / $67.45	Professional		$53.93	$53.93	$67.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $90.65 / $140.06	Professional		$70.03	$90.65	$140.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $14.11 / $113.31	Facility		$14.11	$14.11	$113.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $74.27	Facility		$70.80	$70.80	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $68.45	Professional		$51.68	$51.68	$68.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $589.07 / $636.98 / $636.98	Facility		$589.07	$636.98	$636.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $736.54 / $736.54 / $869.70	Professional		$736.54	$736.54	$869.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $78.40 / $113.31	Facility		$36.50	$78.40	$113.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $101.98 / $113.31	Professional		$69.34	$101.98	$113.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $120.19 / $433.98	Professional		$107.64	$120.19	$433.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $75.70 / $113.31	Facility		$36.50	$75.70	$113.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $94.21	Professional		$51.68	$51.68	$94.21
United Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $67.23 / $81.09	Professional		$47.11	$67.23	$81.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $72.69 / $113.31	Professional		$71.83	$72.69	$113.31