Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $21.40 / $21.81	Facility		$20.99	$21.40	$21.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $21.81 / $29.85	Professional		$19.38	$21.81	$29.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $28.01 / $35.25	Professional		$19.98	$28.01	$35.25
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 $22.37 / $22.37 / $27.99	Professional		$22.37	$22.37	$27.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $37.60 / $47.00	Professional		$29.31	$37.60	$47.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $47.00 / $47.00	Facility		$47.00	$47.00	$47.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $29.97	Facility		$29.97	$29.97	$29.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $199.55 / $199.55	Facility		$196.70	$199.55	$199.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $232.65 / $232.65 / $360.45	Professional		$232.65	$232.65	$360.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $31.79 / $47.00	Facility		$11.61	$31.79	$47.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $39.95 / $47.00	Professional		$11.61	$39.95	$47.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $42.30 / $55.13	Professional		$17.20	$42.30	$55.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $31.42 / $47.00	Facility		$11.61	$31.42	$47.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $34.31	Professional		$21.88	$21.88	$34.31
United Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $21.67 / $27.28	Professional		$14.99	$21.67	$27.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.33 / $47.00	Professional		$22.11	$22.33	$47.00