Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $84.08 / $380.25	Facility		$45.93	$84.08	$380.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $89.12 / $168.17	Professional		$81.14	$89.12	$168.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $136.35 / $153.63	Professional		$20.00	$136.35	$153.63
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 $91.40 / $91.40 / $114.35	Professional		$91.40	$91.40	$114.35
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $108.13 / $135.16	Facility		$28.31	$108.13	$135.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $153.63 / $192.04	Professional		$118.70	$153.63	$192.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.95 / $177.95 / $192.04	Facility		$177.95	$177.95	$192.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $121.71	Facility		$106.63	$106.63	$121.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $106.63	Professional		$77.84	$77.84	$106.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $387.81 / $889.53 / $889.53	Facility		$387.81	$889.53	$889.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $961.74 / $961.74 / $1,398.23	Professional		$961.74	$961.74	$1,398.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $132.88 / $192.04	Facility		$54.96	$132.88	$192.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $176.68 / $192.04	Professional		$54.96	$176.68	$192.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $201.64 / $336.07	Professional		$182.44	$201.64	$336.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $128.33 / $192.04	Facility		$54.96	$128.33	$192.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $121.71	Professional		$77.84	$77.84	$121.71
United Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $102.60 / $122.14	Professional		$70.95	$102.60	$122.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $103.75 / $192.04	Professional		$102.24	$103.75	$192.04