Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.45 / $234.60 / $595.29	Facility		$56.45	$234.60	$595.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $76.51 / $132.54	Professional		$54.18	$76.51	$132.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $83.10 / $135.71	Professional		$47.68	$83.10	$135.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $73.02 / $287.74	Facility		$44.49	$73.02	$287.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $74.12 / $110.73	Professional		$53.84	$74.12	$110.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $124.40 / $202.86	Facility		$56.56	$124.40	$202.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $95.27 / $136.69	Professional		$48.63	$95.27	$136.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $232.07 / $232.07	Facility		$54.33	$232.07	$232.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.56 / $99.56 / $99.56	Facility		$99.56	$99.56	$99.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $94.90 / $150.21	Professional		$64.47	$94.90	$150.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $299.63	Facility		$55.00	$55.00	$299.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $428.48 / $597.91 / $703.05	Professional		$428.48	$597.91	$703.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.61 / $87.86 / $136.15	Facility		$60.61	$87.86	$136.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $105.13 / $150.41	Professional		$75.27	$105.13	$150.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.86 / $87.23 / $151.44	Professional		$57.86	$87.23	$151.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.61 / $88.23 / $137.32	Facility		$60.61	$88.23	$137.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $99.04 / $157.85	Professional		$66.06	$99.04	$157.85
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 $65.25 / $85.64 / $137.13	Professional		$65.25	$85.64	$137.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $77.80 / $109.34	Professional		$69.02	$77.80	$109.34