Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $377.51 / $971.40	Facility		$70.34	$377.51	$971.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $73.56 / $131.04	Professional		$43.78	$73.56	$131.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $83.15 / $163.78	Professional		$68.26	$83.15	$163.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $82.50 / $323.62	Facility		$48.22	$82.50	$323.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $81.31 / $113.32	Professional		$47.96	$81.31	$113.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $159.85 / $266.69	Facility		$49.72	$159.85	$266.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $66.29 / $94.48	Professional		$37.18	$66.29	$94.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.19 / $83.94 / $83.94	Facility		$53.19	$83.94	$83.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $89.37 / $89.37	Facility		$89.37	$89.37	$89.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $89.19 / $144.37	Professional		$55.07	$89.19	$144.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $269.18	Facility		$55.00	$55.00	$269.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $383.36 / $674.40 / $799.05	Professional		$383.36	$674.40	$799.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.01 / $83.32 / $128.07	Facility		$51.01	$83.32	$128.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $96.87 / $163.40	Professional		$64.38	$96.87	$163.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $100.89 / $198.62	Professional		$55.43	$100.89	$198.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $83.32 / $127.97	Facility		$51.04	$83.32	$127.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $93.77 / $158.46	Professional		$56.90	$93.77	$158.46
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 $65.69 / $87.58 / $136.34	Professional		$65.69	$87.58	$136.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $87.69 / $123.82	Professional		$78.13	$87.69	$123.82