Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.21 / $305.95 / $805.04	Facility		$108.21	$305.95	$805.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $120.59 / $210.27	Professional		$98.38	$120.59	$210.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $81.98 / $98.38	Professional		$81.98	$81.98	$98.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.51 / $523.03 / $903.42	Facility		$201.51	$523.03	$903.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $90.18 / $229.54	Professional		$5.00	$90.18	$229.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $237.74 / $326.20	Facility		$163.96	$237.74	$326.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $147.56 / $229.54	Professional		$114.77	$147.56	$229.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $172.15 / $172.15	Facility		$163.96	$172.15	$172.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $381.31 / $829.00	Facility		$148.19	$381.31	$829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $155.81 / $324.00	Professional		$84.40	$155.81	$324.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $354.63 / $778.81 / $778.81	Facility		$354.63	$778.81	$778.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $819.80 / $819.80 / $1,229.70	Professional		$819.80	$819.80	$1,229.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.29 / $163.96 / $279.24	Facility		$103.29	$163.96	$279.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $163.96 / $239.38	Professional		$155.76	$163.96	$239.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.57 / $196.75 / $368.91	Professional		$106.57	$196.75	$368.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.77 / $201.47 / $708.92	Facility		$114.77	$201.47	$708.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $188.55 / $298.22	Professional		$84.40	$188.55	$298.22
United Facility/Professional Facility Modifier Low / Median / High Price $93.95 / $163.96 / $196.75	Facility		$93.95	$163.96	$196.75
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $93.95 / $129.44	Professional		$68.86	$93.95	$129.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $80.97 / $163.96	Professional		$80.97	$80.97	$163.96