Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.39 / $88.09 / $89.78	Facility		$86.39	$88.09	$89.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $89.78 / $145.68	Professional		$77.30	$89.78	$145.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $137.36 / $154.77	Professional		$96.73	$137.36	$154.77
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 $92.07 / $92.07 / $115.19	Professional		$92.07	$92.07	$115.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $145.10 / $184.64	Professional		$119.57	$145.10	$184.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $193.46 / $193.46 / $193.46	Facility		$193.46	$193.46	$193.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $153.94	Facility		$107.42	$107.42	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $107.42	Professional		$78.42	$78.42	$107.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.33 / $899.40 / $899.40	Facility		$323.33	$899.40	$899.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $968.61 / $968.61 / $1,408.65	Professional		$968.61	$968.61	$1,408.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $130.82 / $193.46	Facility		$55.36	$130.82	$193.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $177.98 / $193.46	Professional		$55.36	$177.98	$193.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $205.22 / $740.95	Professional		$183.79	$205.22	$740.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $129.27 / $193.46	Facility		$55.36	$129.27	$193.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $153.94	Professional		$78.42	$78.42	$153.94
United Facility/Professional Facility Modifier Low / Median / High Price $65.89 / $85.00 / $100.06	Facility		$65.89	$85.00	$100.06
United Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $103.34 / $123.03	Professional		$71.47	$103.34	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $106.22 / $193.46	Professional		$105.86	$106.22	$193.46