Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.73 / $336.14 / $806.31	Facility		$59.73	$336.14	$806.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $87.59 / $185.22	Professional		$61.46	$87.59	$185.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $96.26 / $114.44	Professional		$64.72	$96.26	$114.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $118.51 / $204.57	Facility		$51.64	$118.51	$204.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $67.67 / $97.79	Professional		$38.36	$67.67	$97.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $93.04 / $183.87 / $284.72	Facility		$93.04	$183.87	$284.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $99.18 / $167.81	Professional		$76.86	$99.18	$167.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $89.59 / $92.91	Facility		$80.45	$89.59	$92.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $200.50 / $301.52	Facility		$73.37	$200.50	$301.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $97.96 / $221.70	Professional		$71.56	$97.96	$221.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $387.16 / $583.00 / $583.00	Facility		$387.16	$583.00	$583.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.65 / $1,285.65 / $1,285.65	Professional		$1,285.65	$1,285.65	$1,285.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $115.59 / $225.76	Facility		$73.89	$115.59	$225.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $125.67 / $200.24	Professional		$92.16	$125.67	$200.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $58.10 / $147.13	Professional		$29.18	$58.10	$147.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $116.43 / $233.09	Facility		$73.37	$116.43	$233.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $98.60 / $232.01	Professional		$72.06	$98.60	$232.01
United Facility/Professional Facility Modifier Low / Median / High Price $95.93 / $95.93 / $120.39	Facility		$95.93	$95.93	$120.39
United Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $99.62 / $149.07	Professional		$75.87	$99.62	$149.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $80.90 / $113.89	Professional		$71.50	$80.90	$113.89