Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $323.89 / $796.85	Facility		$64.81	$323.89	$796.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $66.62 / $118.72	Professional		$44.76	$66.62	$118.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $110.70 / $183.83 / $183.83	Professional	50	$110.70	$183.83	$183.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $77.65 / $144.56	Professional		$46.78	$77.65	$144.56
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $105.51 / $105.51 / $105.51	Professional	50	$105.51	$105.51	$105.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $56.15 / $200.97	Facility		$40.18	$56.15	$200.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $64.33 / $91.59	Professional		$44.94	$64.33	$91.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $110.86 / $158.68	Facility		$47.37	$110.86	$158.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $51.00 / $76.34	Professional		$38.69	$51.00	$76.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.49 / $136.16 / $136.16	Facility		$48.49	$136.16	$136.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $84.93 / $84.93	Facility		$84.93	$84.93	$84.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $81.14 / $128.43	Professional		$54.39	$81.14	$128.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $252.51	Facility		$55.00	$55.00	$252.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.84 / $540.40 / $635.70	Professional		$363.84	$540.40	$635.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $73.37 / $119.18	Facility		$49.68	$73.37	$119.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $91.38 / $131.58	Professional		$61.46	$91.38	$131.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $947.00 / $3,207.00	Facility		$665.00	$947.00	$3,207.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $84.60 / $169.96	Professional		$51.32	$84.60	$169.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $73.37 / $115.94	Facility		$49.68	$73.37	$115.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $84.63 / $138.19	Professional		$55.86	$84.63	$138.19
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 $56.37 / $75.47 / $118.07	Professional		$56.37	$75.47	$118.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $70.34 / $98.82	Professional		$62.39	$70.34	$98.82