Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $85.76 / $324.08	Facility		$43.08	$85.76	$324.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $91.21 / $155.10	Professional		$80.72	$91.21	$155.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $136.35 / $144.03	Professional		$114.43	$136.35	$144.03
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 Professional Modifier Low / Median / High Price $119.76 / $153.63 / $192.04	Professional		$119.76	$153.63	$192.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.61 / $129.61 / $192.04	Facility		$129.61	$129.61	$192.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $120.81	Facility		$118.47	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $120.81	Professional		$88.19	$88.19	$120.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $320.95 / $889.53 / $889.53	Facility		$320.95	$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 $89.12 / $163.22 / $192.04	Facility		$89.12	$163.22	$192.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $166.44 / $192.04	Professional		$117.53	$166.44	$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 $96.18 / $124.98 / $192.04	Facility		$96.18	$124.98	$192.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $116.03 / $155.02	Professional		$88.19	$116.03	$155.02
United Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $106.85 / $133.57	Professional		$70.95	$106.85	$133.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.03 / $112.34 / $192.04	Professional		$103.03	$112.34	$192.04