Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.80 / $92.58 / $94.36	Facility		$90.80	$92.58	$94.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $94.36 / $153.11	Professional		$89.02	$94.36	$153.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $152.50 / $203.33	Professional		$101.67	$152.50	$203.33
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 $126.80 / $162.66 / $203.33	Professional		$126.80	$162.66	$203.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.63 / $124.63 / $203.33	Facility		$124.63	$124.63	$203.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $127.07	Facility		$106.02	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $122.84	Professional		$92.76	$92.76	$122.84
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 $94.36 / $172.83 / $203.33	Facility		$94.36	$172.83	$203.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $172.83 / $225.00	Professional		$132.06	$172.83	$225.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $203.33 / $466.65	Professional		$77.20	$203.33	$466.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.57 / $132.06 / $203.33	Facility		$101.57	$132.06	$203.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $169.89	Professional		$92.76	$92.76	$169.89
United Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $112.90 / $141.12	Professional		$74.95	$112.90	$141.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $115.83 / $203.33	Professional		$108.86	$115.83	$203.33