Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $57.66 / $240.47	Facility		$19.71	$57.66	$240.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $21.29 / $39.42	Professional		$19.71	$21.29	$39.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $33.77 / $36.02	Professional		$33.77	$33.77	$36.02
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 $21.43 / $26.81 / $26.81	Professional		$21.43	$26.81	$26.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $33.77 / $33.77	Facility		$33.77	$33.77	$33.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $36.02 / $55.67	Professional		$28.08	$36.02	$55.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $45.02	Facility		$30.16	$30.16	$45.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $35.00	Facility		$29.97	$35.00	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $35.00	Professional		$25.55	$25.55	$35.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.75 / $230.54 / $277.54	Facility		$103.75	$230.54	$277.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $322.52 / $331.65	Professional		$314.95	$322.52	$331.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $32.22 / $45.02	Facility		$14.11	$32.22	$45.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $40.52 / $49.53	Professional		$14.27	$40.52	$49.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $754.03 / $1,032.41 / $1,891.84	Facility		$754.03	$1,032.41	$1,891.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $31.38 / $45.02	Facility		$14.11	$31.38	$45.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $35.59	Professional		$25.55	$25.55	$35.59
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $26.95 / $33.89	Professional		$18.22	$26.95	$33.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $32.40 / $45.02	Professional		$29.62	$32.40	$45.02