Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $47.06 / $86.49	Facility		$45.28	$47.06	$86.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $47.06 / $70.45	Professional		$43.51	$47.06	$70.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00
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 $48.26 / $48.26 / $60.38	Professional		$48.26	$48.26	$60.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $76.05 / $76.05	Professional		$4.00	$76.05	$76.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $101.40 / $101.40	Facility		$101.40	$101.40	$101.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $82.31	Professional		$39.31	$39.31	$82.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.32 / $456.49 / $545.82	Facility		$203.32	$456.49	$545.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $551.57 / $551.57 / $646.35	Professional		$551.57	$551.57	$646.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $76.12 / $101.40	Facility		$27.76	$76.12	$101.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $91.26 / $104.41	Professional		$27.76	$91.26	$104.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $103.43 / $232.72	Professional		$91.26	$103.43	$232.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $60.26 / $101.40	Facility		$27.76	$60.26	$101.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $91.43	Professional		$39.31	$39.31	$91.43
United Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $51.81 / $61.68	Professional		$35.83	$51.81	$61.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $52.41 / $101.40	Professional		$51.63	$52.41	$101.40