Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.99 / $44.50 / $315.58	Facility		$41.99	$44.50	$315.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $45.34 / $90.77	Professional		$41.99	$45.34	$90.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $57.14 / $68.09	Professional		$47.95	$57.14	$68.09
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 $45.64 / $45.64 / $57.10	Professional		$45.64	$45.64	$57.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $73.64 / $119.88	Facility		$41.16	$73.64	$119.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $67.77 / $95.90	Professional		$28.67	$67.77	$95.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Facility		$95.90	$95.90	$95.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $70.31	Professional		$43.74	$43.74	$70.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $191.79 / $474.60 / $474.60	Facility		$191.79	$474.60	$474.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $521.73 / $521.73 / $719.25	Professional		$521.73	$521.73	$719.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $54.00 / $95.90	Facility		$28.67	$54.00	$95.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $86.31 / $105.40	Professional		$30.89	$86.31	$105.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $97.81 / $220.07	Professional		$86.31	$97.81	$220.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $54.00 / $95.90	Facility		$28.67	$54.00	$95.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $79.80	Professional		$43.74	$43.74	$79.80
United Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $57.65 / $68.64	Professional		$34.32	$57.65	$68.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $58.04 / $95.90	Professional		$57.46	$58.04	$95.90