Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $76.48 / $9,778.35	Facility		$44.57	$76.48	$9,778.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $48.02 / $4,320.71	Professional		$47.55	$48.02	$4,320.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $43.28 / $43.28	Professional		$43.28	$43.28	$43.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.97 / $234.73 / $482.40	Facility		$96.97	$234.73	$482.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $35.08 / $35.08	Professional		$35.08	$35.08	$35.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $87.05 / $4,187.32	Facility		$50.65	$87.05	$4,187.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,295.02 / $2,295.02 / $2,295.02	Facility		$2,295.02	$2,295.02	$2,295.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $47.55 / $50.30	Facility		$41.89	$47.55	$50.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $393.60 / $393.60	Facility		$105.64	$393.60	$393.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $160.44 / $163.32	Professional		$160.44	$160.44	$163.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $47.55 / $106.99	Facility		$43.28	$47.55	$106.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $48.50 / $78.45	Professional		$47.55	$48.50	$78.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $55.55 / $97.95	Professional		$45.17	$55.55	$97.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $47.55 / $101.80	Facility		$47.55	$47.55	$101.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $47.55 / $47.55	Professional		$30.43	$47.55	$47.55
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $50.40 / $53.26	Professional		$47.55	$50.40	$53.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $47.55 / $66.56	Professional		$34.69	$47.55	$66.56