Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $57.80 / $155.55	Facility		$20.28	$57.80	$155.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $60.07 / $158.19	Professional		$40.15	$60.07	$158.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $91.90 / $142.00	Professional		$64.72	$91.90	$142.00
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 $61.60 / $61.60 / $77.06	Professional		$61.60	$61.60	$77.06
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $97.07 / $97.07 / $129.43	Facility		$97.07	$97.07	$129.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $106.13 / $181.20	Professional		$84.13	$106.13	$181.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $79.34 / $129.43	Facility		$79.34	$79.34	$129.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $91.83	Facility		$86.64	$86.64	$91.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $86.64	Professional		$63.25	$63.25	$86.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $274.68 / $670.88 / $789.50	Facility		$274.68	$670.88	$789.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $868.37 / $889.20 / $1,108.65	Professional		$868.37	$889.20	$1,108.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $90.20 / $129.43	Facility		$40.15	$90.20	$129.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $116.17 / $129.59	Professional		$81.00	$116.17	$129.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $137.30 / $495.72	Professional		$122.96	$137.30	$495.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $86.64 / $129.43	Facility		$40.15	$86.64	$129.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $92.36	Professional		$63.25	$63.25	$92.36
United Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $74.95 / $89.22	Professional		$51.83	$74.95	$89.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $83.38 / $129.43	Professional		$83.20	$83.38	$129.43