Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $30.65 / $64.81	Facility		$16.02	$30.65	$64.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $38.17 / $103.20	Professional		$28.92	$38.17	$103.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $39.35 / $66.05	Professional		$33.03	$39.35	$66.05
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 $31.44 / $31.44 / $39.32	Professional		$31.44	$31.44	$39.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $50.65 / $82.56	Facility		$45.08	$50.65	$82.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $52.84 / $66.05	Professional		$42.93	$52.84	$66.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $48.67 / $66.05	Facility		$48.67	$48.67	$66.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.96	Facility		$45.70	$45.70	$45.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $45.70	Professional		$33.36	$33.36	$45.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $358.44 / $418.29	Facility		$163.19	$358.44	$418.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $506.84 / $518.99 / $660.45	Professional		$506.84	$518.99	$660.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $46.03 / $66.05	Facility		$21.28	$46.03	$66.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $60.77 / $88.06	Professional		$43.20	$60.77	$88.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $62.42 / $85.42 / $258.87	Facility		$62.42	$85.42	$258.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $69.34 / $115.59	Professional		$60.63	$69.34	$115.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $45.70 / $66.05	Facility		$21.28	$45.70	$66.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $73.22	Professional		$33.36	$33.36	$73.22
United Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $39.71 / $47.28	Professional		$27.46	$39.71	$47.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $40.10 / $66.05	Professional		$39.57	$40.10	$66.05