Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.89 / $34.17 / $127.93	Facility		$25.89	$34.17	$127.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $127.93 / $241.40	Professional		$115.86	$127.93	$241.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $195.72 / $275.66	Professional		$137.83	$195.72	$275.66
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 $131.19 / $131.19 / $164.14	Professional		$131.19	$131.19	$164.14
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $137.02 / $206.75 / $250.00	Professional		$137.02	$206.75	$250.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $275.66 / $275.66 / $275.66	Facility		$275.66	$275.66	$275.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $98.55 / $212.00	Professional		$98.55	$98.55	$212.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $460.64 / $1,281.52 / $1,281.52	Facility		$460.64	$1,281.52	$1,281.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.26 / $1,380.26 / $2,007.15	Professional		$1,380.26	$1,380.26	$2,007.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $192.10 / $275.66	Facility		$78.89	$192.10	$275.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $253.61 / $275.66	Professional		$78.89	$253.61	$275.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $248.09 / $281.17 / $632.63	Professional		$248.09	$281.17	$632.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $184.18 / $275.66	Facility		$78.89	$184.18	$275.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $218.41	Professional		$98.55	$135.00	$218.41
United Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $147.26 / $175.31	Professional		$101.83	$147.26	$175.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $148.53 / $275.66	Professional		$146.74	$148.53	$275.66