Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.91 / $364.67 / $929.48	Facility		$54.91	$364.67	$929.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $73.95 / $131.87	Professional		$38.97	$73.95	$131.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $79.92 / $128.62	Professional		$55.50	$79.92	$128.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $74.70 / $300.41	Facility		$45.82	$74.70	$300.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $71.25 / $107.77	Professional		$38.97	$71.25	$107.77
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $40.63 / $96.35	Facility		$40.63	$40.63	$96.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $95.61 / $135.86	Professional		$69.13	$95.61	$135.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.07 / $101.29 / $101.29	Facility		$37.07	$101.29	$101.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $71.45 / $71.45	Facility		$71.45	$71.45	$71.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $91.88 / $148.66	Professional		$47.06	$91.88	$148.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $198.27	Facility		$55.00	$55.00	$198.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $329.38 / $611.20 / $726.38	Professional		$329.38	$611.20	$726.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $85.14 / $135.71	Facility		$42.20	$85.14	$135.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $95.60 / $148.28	Professional		$51.55	$95.60	$148.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $85.77 / $174.67	Professional		$42.16	$85.77	$174.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $85.14 / $129.74	Facility		$42.20	$85.14	$129.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $93.54 / $158.13	Professional		$49.18	$93.54	$158.13
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,668.00	Facility		$161.00	$1,058.00	$2,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $89.87 / $140.02	Professional		$66.70	$89.87	$140.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $79.92 / $112.24	Professional		$70.95	$79.92	$112.24