Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $23.21 / $25.07	Facility		$23.21	$23.21	$25.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $25.88 / $46.42	Professional		$23.21	$25.88	$46.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $37.11 / $39.76	Professional		$31.60	$37.11	$39.76
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 $25.23 / $25.23 / $31.57	Professional		$25.23	$25.23	$31.57
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $39.76 / $53.01	Professional		$37.11	$39.76	$53.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $67.38 / $67.38	Facility		$53.01	$67.38	$67.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $34.77	Facility		$34.77	$34.77	$34.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $25.38	Professional		$25.38	$25.38	$25.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $268.63 / $317.87	Facility		$126.07	$268.63	$317.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.48 / $408.06 / $487.05	Professional		$398.48	$408.06	$487.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $36.95 / $53.01	Facility		$16.17	$36.95	$53.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $47.68 / $53.01	Professional		$16.35	$47.68	$53.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $24.40 / $24.40	Professional		$24.40	$24.40	$24.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $35.43 / $53.01	Facility		$16.17	$35.43	$53.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $41.74	Professional		$25.38	$25.38	$41.74
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $30.87 / $37.99	Professional		$20.87	$30.87	$37.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $37.61 / $53.01	Professional		$30.37	$37.61	$53.01