Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $58.88 / $323.59	Facility		$30.20	$58.88	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $102.33	Professional		$30.20	$56.23	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $251.19	Facility		$38.90	$64.57	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $85.11	Professional		$30.20	$57.54	$85.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $120.23 / $371.54	Facility		$30.20	$120.23	$371.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $77.62 / $109.65	Professional		$22.91	$77.62	$109.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $79.43	Facility		$29.51	$29.51	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $117.49	Professional		$36.31	$67.61	$117.49
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 $478.63 / $562.34 / $562.34	Professional		$478.63	$562.34	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.10 / $114.82	Facility		$32.36	$63.10	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $117.49	Professional		$30.20	$53.70	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $56.23	Professional		$26.30	$33.11	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $120.23	Professional		$63.10	$63.10	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $64.57 / $112.20	Facility		$33.11	$64.57	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $67.61 / $120.23	Professional		$35.48	$67.61	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $87.10	Professional		$29.51	$52.48	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $70.79	Professional		$66.07	$70.79	$70.79