Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $270.26 / $738.66	Facility		$96.75	$270.26	$738.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $107.53 / $185.74	Professional		$86.90	$107.53	$185.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $72.42 / $86.90	Professional		$72.42	$72.42	$86.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.01 / $462.04 / $798.07	Facility		$178.01	$462.04	$798.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $79.66 / $202.78	Professional		$5.00	$79.66	$202.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $195.53	Facility		$144.84	$144.84	$195.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $130.36 / $202.78	Professional		$101.39	$130.36	$202.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.67 / $121.67 / $144.84	Facility		$121.67	$121.67	$144.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $336.81 / $732.46	Facility		$130.88	$336.81	$732.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $137.46 / $287.00	Professional		$74.59	$137.46	$287.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $313.26 / $687.99 / $687.99	Facility		$313.26	$687.99	$687.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.20 / $724.20 / $1,086.30	Professional		$724.20	$724.20	$1,086.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.25 / $144.84 / $246.66	Facility		$91.25	$144.84	$246.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $144.84 / $211.47	Professional		$137.60	$144.84	$211.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $450.80 / $583.23 / $1,212.64	Facility		$450.80	$583.23	$1,212.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $173.81 / $325.89	Professional		$94.15	$173.81	$325.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $178.02 / $626.64	Facility		$101.39	$178.02	$626.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $166.57 / $263.62	Professional		$75.68	$166.57	$263.62
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $82.99 / $114.35	Professional		$60.83	$82.99	$114.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $75.03 / $144.84	Professional		$71.52	$75.03	$144.84