Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.17 / $52.85 / $127.93	Facility		$21.17	$52.85	$127.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $131.76 / $275.00	Professional		$116.93	$131.76	$275.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $192.96 / $275.66	Professional		$137.83	$192.96	$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 $179.18 / $220.53 / $385.92	Professional		$179.18	$220.53	$385.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $203.12 / $203.12 / $275.66	Facility		$203.12	$203.12	$275.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $146.03	Facility		$142.00	$142.00	$146.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $103.66 / $146.03	Professional		$103.66	$103.66	$146.03
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 $127.93 / $234.31 / $275.66	Facility		$127.93	$234.31	$275.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.40 / $239.78 / $317.01	Professional		$179.40	$239.78	$317.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $864.00 / $1,036.00	Facility		$675.00	$864.00	$1,036.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.05 / $281.17 / $632.63	Professional		$253.05	$281.17	$632.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $179.40 / $275.66	Facility		$138.07	$179.40	$275.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $142.00 / $222.52	Professional		$103.66	$142.00	$222.52
United Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $153.37 / $191.71	Professional		$101.83	$153.37	$191.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $157.10 / $275.66	Professional		$147.88	$157.10	$275.66