Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $68.05 / $73.48	Facility		$68.05	$68.05	$73.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $73.48 / $136.09	Professional		$68.00	$73.48	$136.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $110.35 / $116.57	Professional		$92.60	$110.35	$116.57
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 $73.97 / $73.97 / $92.54	Professional		$73.97	$73.97	$92.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $124.34 / $155.41	Professional		$108.79	$124.34	$155.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $190.53 / $190.53	Facility		$155.41	$190.53	$190.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $100.03	Professional		$73.02	$73.02	$100.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $259.81 / $720.06 / $720.06	Facility		$259.81	$720.06	$720.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $778.52 / $778.52 / $1,131.90	Professional		$778.52	$778.52	$1,131.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $116.69 / $155.41	Facility		$44.49	$116.69	$155.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $139.88 / $155.41	Professional		$44.99	$139.88	$155.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $50.40	Professional		$50.40	$50.40	$50.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $103.86 / $155.41	Facility		$44.49	$103.86	$155.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $106.64	Professional		$73.02	$73.02	$106.64
United Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $84.95 / $103.86	Professional		$57.43	$84.95	$103.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $92.90 / $155.41	Professional		$83.58	$92.90	$155.41