Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $232.90 / $551.42	Facility		$39.60	$232.90	$551.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $62.34 / $189.94	Professional		$42.31	$62.34	$189.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $65.00 / $104.10	Professional		$44.95	$65.00	$104.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $59.35 / $103.36	Facility		$27.56	$59.35	$103.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $49.92 / $70.18	Professional		$32.46	$49.92	$70.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $94.92 / $239.50	Facility		$64.61	$94.92	$239.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $75.78 / $94.60	Professional		$56.18	$75.78	$94.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $55.81 / $61.25	Facility		$49.75	$55.81	$61.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $112.08 / $163.77	Facility		$39.08	$112.08	$163.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $68.81 / $128.87	Professional		$49.41	$68.81	$128.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $514.16 / $539.87	Facility		$132.05	$514.16	$539.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $480.87 / $480.87 / $489.60	Professional		$480.87	$480.87	$489.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.13 / $85.85 / $148.11	Facility		$51.13	$85.85	$148.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $86.85 / $169.87	Professional		$56.18	$86.85	$169.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $40.22 / $97.75	Professional		$18.88	$40.22	$97.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.57 / $85.85 / $161.97	Facility		$50.57	$85.85	$161.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $70.14 / $140.57	Professional		$49.95	$70.14	$140.57
United Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $69.17 / $109.14	Professional		$52.13	$69.17	$109.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $56.18 / $78.69	Professional		$49.42	$56.18	$78.69