Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $39.81 / $70.79	Facility		$28.18	$39.81	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $46.77 / $74.13	Professional		$24.55	$46.77	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $66.07	Professional		$56.23	$56.23	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $100.00 / $316.23	Facility		$52.48	$100.00	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $48.98 / $77.62	Professional		$23.44	$48.98	$77.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $36.31 / $44.67	Facility		$12.88	$36.31	$44.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $95.50	Professional		$28.18	$56.23	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,318.26	Facility		$54.95	$56.23	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $478.63	Professional		$416.87	$478.63	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $54.95 / $97.72	Facility		$24.55	$54.95	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $93.33	Professional		$25.12	$50.12	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $33.11	Professional		$22.39	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $91.20 / $158.49	Professional		$3.02	$91.20	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $53.70 / $104.71	Facility		$24.55	$53.70	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $57.54 / $97.72	Professional		$28.18	$57.54	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,047.13 / $2,691.53	Facility		$144.54	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $77.62	Professional		$25.12	$43.65	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $53.70	Professional		$51.29	$53.70	$53.70