Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $239.76 / $529.66	Facility		$55.46	$239.76	$529.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $55.03 / $95.05	Professional		$44.02	$55.03	$95.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $44.02 / $103.95	Professional		$44.02	$44.02	$103.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $231.85 / $395.46	Facility		$88.04	$231.85	$395.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $40.35 / $102.72	Professional		$5.00	$40.35	$102.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $84.38 / $315.00	Facility		$73.37	$84.38	$315.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $88.04 / $126.93	Professional		$51.36	$88.04	$126.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Facility		$73.37	$73.37	$73.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.23 / $168.10 / $327.64	Facility		$55.23	$168.10	$327.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $64.98 / $124.96	Professional		$37.17	$64.98	$124.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.76 / $348.51 / $348.51	Facility		$148.76	$348.51	$348.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $366.85 / $366.85 / $550.28	Professional		$366.85	$366.85	$550.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $77.04 / $124.95	Facility		$51.36	$77.04	$124.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $73.37 / $91.71	Professional		$69.39	$73.37	$91.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $342.18 / $468.31 / $1,240.53	Facility		$342.18	$468.31	$1,240.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $88.04 / $165.08	Professional		$47.69	$88.04	$165.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $88.04 / $309.39	Facility		$51.36	$88.04	$309.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $84.38 / $124.96	Professional		$37.36	$84.38	$124.96
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $35.02 / $50.02	Professional		$30.82	$35.02	$50.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $73.37 / $99.05	Professional		$28.61	$73.37	$99.05