Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $263.03 / $616.60	Facility		$34.67	$263.03	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $97.72	Professional		$26.92	$42.66	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $75.86	Professional		$33.11	$40.74	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $199.53	Facility		$43.65	$87.10	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $54.95	Professional		$26.30	$39.81	$54.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $147.91 / $302.00	Facility		$131.83	$147.91	$302.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $79.43	Professional		$30.90	$48.98	$79.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $114.82 / $114.82	Facility		$25.12	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $79.43	Professional		$31.62	$47.86	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $363.08	Professional		$309.03	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $45.71 / $89.13	Facility		$28.18	$45.71	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $81.28	Professional		$28.18	$42.66	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $36.31	Professional		$23.44	$32.36	$36.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $173.78	Professional		$77.62	$95.50	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $45.71 / $77.62	Facility		$28.84	$45.71	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $81.28	Professional		$30.90	$47.86	$81.28
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 $25.12 / $36.31 / $58.88	Professional		$25.12	$36.31	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $46.77	Professional		$44.67	$46.77	$46.77