Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.88 / $341.85 / $825.85	Facility		$77.88	$341.85	$825.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $24.84 / $50.91	Professional		$7.84	$24.84	$50.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $57.94 / $105.63	Professional		$18.05	$57.94	$105.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $103.13 / $190.73	Facility		$37.97	$103.13	$190.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $26.84 / $26.84	Professional		$26.84	$26.84	$26.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $53.76 / $180.82	Facility		$43.32	$53.76	$180.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $43.32 / $53.76	Professional		$29.71	$43.32	$53.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.20 / $109.20 / $109.20	Facility		$109.20	$109.20	$109.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $71.17 / $181.17	Facility		$26.77	$71.17	$181.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $32.92 / $68.36	Professional		$20.07	$32.92	$68.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.88 / $221.97 / $221.97	Facility		$98.88	$221.97	$221.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $49.26 / $64.93	Professional		$34.79	$49.26	$64.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $39.40 / $348.50	Facility		$22.73	$39.40	$348.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $45.79 / $252.00	Professional		$34.02	$45.79	$252.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $52.42 / $205.60	Facility		$34.65	$52.42	$205.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $38.94 / $132.75	Facility		$22.73	$38.94	$132.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $33.15 / $50.26	Professional		$20.07	$33.15	$50.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $19.82 / $28.37	Professional		$16.57	$19.82	$28.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $17.36 / $20.87	Professional		$13.70	$17.36	$20.87