Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $57.70 / $17,296.20	Facility		$27.86	$57.70	$17,296.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.14 / $2,916.32	Professional		$27.86	$28.14	$2,916.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $28.85 / $40.39	Professional		$28.85	$28.85	$40.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $176.59 / $352.34	Facility		$72.56	$176.59	$352.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $32.43 / $32.43	Professional		$32.43	$32.43	$32.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $66.98 / $327.17	Facility		$27.86	$66.98	$327.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $66.98 / $98.80	Professional		$30.17	$66.98	$98.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,445.24 / $1,445.24 / $1,445.24	Facility		$1,445.24	$1,445.24	$1,445.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $27.86 / $41.66	Facility		$22.34	$27.86	$41.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Professional		$27.86	$27.86	$27.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.29 / $304.70 / $304.70	Facility		$81.29	$304.70	$304.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $126.83 / $126.83	Professional		$126.83	$126.83	$126.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $28.85 / $76.16	Facility		$27.86	$28.85	$76.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.42 / $45.97	Professional		$27.86	$28.42	$45.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $29.80 / $57.41	Professional		$24.32	$29.80	$57.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $27.86 / $73.13	Facility		$27.86	$27.86	$73.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $34.81	Professional		$27.86	$27.86	$34.81
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $29.53 / $31.48	Professional		$27.86	$29.53	$31.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.73 / $39.00	Professional		$27.86	$28.73	$39.00