Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $221.95 / $594.00	Facility		$29.44	$221.95	$594.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $37.61 / $67.18	Professional		$25.62	$37.61	$67.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $52.09 / $89.23	Professional		$45.55	$52.09	$89.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $86.71 / $196.39	Facility		$47.31	$86.71	$196.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $38.78 / $55.93	Professional		$27.23	$38.78	$55.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $31.57 / $32.47	Facility		$13.97	$31.57	$32.47
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $60.21 / $75.11	Professional		$44.66	$60.21	$75.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.24 / $112.48 / $112.48	Facility		$25.24	$112.48	$112.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $49.24 / $49.24	Facility		$49.24	$49.24	$49.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $47.39 / $81.20	Professional		$31.64	$47.39	$81.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $141.74	Facility		$55.00	$55.00	$141.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.64 / $311.20 / $365.03	Professional		$208.64	$311.20	$365.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $43.37 / $66.94	Facility		$29.18	$43.37	$66.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $52.34 / $75.06	Professional		$35.88	$52.34	$75.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $49.09 / $99.05	Professional		$28.82	$49.09	$99.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $43.37 / $66.94	Facility		$29.23	$43.37	$66.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $49.92 / $84.44	Professional		$32.40	$49.92	$84.44
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $44.01 / $68.70	Professional		$32.13	$44.01	$68.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $40.60 / $56.79	Professional		$35.89	$40.60	$56.79