Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $69.09 / $143.52	Facility		$25.85	$69.09	$143.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $116.62 / $188.08	Professional		$82.20	$116.62	$188.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $98.60 / $195.12	Professional		$80.00	$98.60	$195.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $253.02 / $401.64	Facility		$110.99	$253.02	$401.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $159.32 / $187.44	Professional		$56.24	$159.32	$187.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $162.00	Facility		$125.00	$125.00	$162.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $136.36 / $213.00	Professional		$93.58	$136.36	$213.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $30.40 / $30.40	Facility		$30.40	$30.40	$30.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $338.11 / $488.51	Facility		$150.00	$338.11	$488.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $159.41 / $285.33	Professional		$101.78	$159.41	$285.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $255.33 / $668.04 / $668.04	Facility		$255.33	$668.04	$668.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $810.58 / $810.58 / $1,053.68	Professional		$810.58	$810.58	$1,053.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.40 / $126.94 / $233.32	Facility		$83.40	$126.94	$233.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $104.40 / $225.00	Professional		$56.95	$104.40	$225.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $268.02 / $838.00	Facility		$196.09	$268.02	$838.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $27.74 / $52.10	Professional		$12.60	$27.74	$52.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $140.03 / $350.28	Facility		$90.06	$140.03	$350.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $156.22 / $289.69	Professional		$104.88	$156.22	$289.69
United Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $155.11 / $231.91	Professional		$115.96	$155.11	$231.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $126.52 / $170.80	Professional		$126.52	$126.52	$170.80