Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.80 / $94.36 / $134.63	Facility		$90.80	$94.36	$134.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.24 / $94.36 / $161.04	Professional		$87.24	$94.36	$161.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $144.36 / $162.66	Professional		$101.67	$144.36	$162.66
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 $96.77 / $96.77 / $121.07	Professional		$96.77	$96.77	$121.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $152.50 / $172.83	Professional		$152.50	$152.50	$172.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $203.33 / $203.33 / $203.33	Facility		$203.33	$203.33	$203.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $112.67	Professional		$82.25	$82.25	$112.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $339.68 / $939.42 / $939.42	Facility		$339.68	$939.42	$939.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,479.83	Professional		$1,006.48	$1,006.48	$1,479.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $137.47 / $203.33	Facility		$58.07	$137.47	$203.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $172.83 / $203.33	Professional		$58.07	$172.83	$203.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $203.33 / $466.65	Professional		$65.90	$203.33	$466.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $135.84 / $203.33	Facility		$58.07	$135.84	$203.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $122.84	Professional		$82.25	$82.25	$122.84
United Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $108.40 / $129.05	Professional		$74.95	$108.40	$129.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $109.27 / $203.33	Professional		$108.03	$109.27	$203.33