Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $354.81 / $933.25	Facility		$69.18	$354.81	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $199.53	Professional		$41.69	$83.18	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $79.43 / $120.23	Professional		$35.48	$79.43	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $75.86 / $302.00	Facility		$41.69	$75.86	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $107.15	Professional		$37.15	$69.18	$107.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $144.54	Facility		$40.74	$54.95	$144.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $141.25	Professional		$42.66	$69.18	$141.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $102.33 / $102.33	Facility		$37.15	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $158.49	Professional		$46.77	$93.33	$158.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,698.24	Facility		$54.95	$56.23	$1,698.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $724.44	Professional		$616.60	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $93.33 / $223.87	Facility		$41.69	$93.33	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $169.82	Professional		$41.69	$79.43	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $72.44	Professional		$32.36	$33.88	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $363.08	Professional		$134.90	$147.91	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $89.13 / $158.49	Facility		$42.66	$89.13	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $158.49	Professional		$46.77	$93.33	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $117.49	Professional		$42.66	$72.44	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $100.00	Professional		$93.33	$100.00	$100.00