Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $46.25 / $82.89	Facility		$27.47	$46.25	$82.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $48.21 / $103.73	Professional		$45.35	$48.21	$103.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $73.53 / $82.86	Professional		$61.71	$73.53	$82.86
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 $49.29 / $49.29 / $61.67	Professional		$49.29	$49.29	$61.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $82.86 / $103.57	Professional		$64.01	$82.86	$103.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.43 / $77.43 / $103.57	Facility		$77.43	$77.43	$103.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $73.06	Facility		$68.22	$68.22	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $68.22	Professional		$49.80	$49.80	$68.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $535.05 / $637.78	Facility		$264.33	$535.05	$637.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $835.47 / $855.54 / $855.54	Professional		$835.47	$855.54	$855.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $70.03 / $103.57	Facility		$32.44	$70.03	$103.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $93.21 / $110.89	Professional		$63.38	$93.21	$110.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $108.75 / $237.69	Professional		$79.23	$108.75	$237.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $69.19 / $103.57	Facility		$32.44	$69.19	$103.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $73.06	Professional		$49.80	$49.80	$73.06
United Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $60.55 / $72.08	Professional		$41.87	$60.55	$72.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $61.34 / $103.57	Professional		$60.34	$61.34	$103.57