Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $52.48 / $128.82	Facility		$26.30	$52.48	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $125.89	Professional		$48.98	$60.26	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $141.25	Professional		$70.79	$89.13	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $218.78	Facility		$74.13	$89.13	$218.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $120.23	Professional		$79.43	$100.00	$120.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $120.23 / $120.23	Facility		$79.43	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $66.07	Professional		$47.86	$47.86	$66.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $870.96	Professional		$588.84	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $95.50 / $151.36	Facility		$51.29	$95.50	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $117.49	Professional		$50.12	$63.10	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $81.28	Professional		$79.43	$79.43	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $91.20 / $162.18	Facility		$52.48	$91.20	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $66.07	Professional		$47.86	$47.86	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $123.03	Facility		$33.11	$52.48	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $75.86	Professional		$43.65	$63.10	$75.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23