Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $162.18 / $354.81	Facility		$17.38	$162.18	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $54.95	Professional		$16.98	$30.20	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $45.71	Professional		$25.12	$26.92	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $181.97 / $389.05	Facility		$87.10	$181.97	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $24.55	Professional		$14.79	$23.99	$24.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $56.23	Facility		$8.91	$8.91	$56.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $79.43	Facility		$15.14	$15.14	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.02 / $81.28	Professional		$19.95	$38.02	$81.28
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 $288.40 / $288.40 / $323.59	Professional		$288.40	$288.40	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.02 / $74.13	Facility		$17.78	$38.02	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $50.12	Professional		$16.98	$28.18	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.18 / $33.11	Professional		$15.14	$28.18	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $107.15	Professional		$56.23	$57.54	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $40.74 / $74.13	Facility		$18.62	$40.74	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.02 / $79.43	Professional		$19.95	$38.02	$79.43
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 $17.38 / $32.36 / $61.66	Professional		$17.38	$32.36	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.84 / $28.84	Professional		$27.54	$28.84	$28.84