Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.18 / $663.38 / $3,925.00	Facility		$84.18	$663.38	$3,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $83.52 / $171.33	Professional		$39.63	$83.52	$171.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $69.95 / $127.25	Professional		$38.58	$69.95	$127.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.83 / $262.08 / $592.33	Facility		$111.83	$262.08	$592.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $74.43 / $120.56	Professional		$36.47	$74.43	$120.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $201.31 / $438.17	Facility		$42.70	$201.31	$438.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $60.62 / $140.22	Professional		$37.94	$60.62	$140.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.18 / $51.24 / $109.27	Facility		$43.18	$51.24	$109.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $96.51 / $175.36	Professional		$46.69	$96.51	$175.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $310.92	Facility		$55.00	$55.00	$310.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $796.13 / $895.28	Professional		$413.00	$796.13	$895.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.51 / $92.66 / $225.89	Facility		$42.51	$92.66	$225.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $103.84 / $182.44	Professional		$54.18	$103.84	$182.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $879.00 / $1,418.00	Facility		$662.00	$879.00	$1,418.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $93.75 / $184.62	Professional		$46.97	$93.75	$184.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.51 / $89.45 / $183.12	Facility		$42.51	$89.45	$183.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $97.85 / $178.44	Professional		$48.17	$97.85	$178.44
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,376.00	Facility		$161.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $93.24 / $168.96	Professional		$69.93	$93.24	$168.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $87.64 / $122.70	Professional		$77.84	$87.64	$122.70