Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $123.03 / $354.81	Facility		$45.71	$123.03	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $100.00	Professional		$42.66	$61.66	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $45.71	Professional		$28.84	$38.90	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $218.78 / $380.19	Facility		$85.11	$218.78	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $37.15 / $89.13	Professional		$5.01	$37.15	$89.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $97.72 / $346.74	Facility		$61.66	$97.72	$346.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $107.15	Professional		$58.88	$81.28	$107.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $141.25 / $331.13	Facility		$58.88	$141.25	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $134.90	Professional		$34.67	$61.66	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $489.78	Professional		$323.59	$489.78	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $66.07 / $239.88	Facility		$48.98	$66.07	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $97.72	Professional		$34.67	$56.23	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $66.07	Professional		$54.95	$54.95	$66.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $138.04	Professional		$66.07	$70.79	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $77.62 / $251.19	Facility		$48.98	$77.62	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $66.07 / $123.03	Professional		$34.67	$66.07	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $27.54 / $66.07	Facility		$23.44	$27.54	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $53.70	Professional		$27.54	$37.15	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $66.07	Professional		$25.70	$54.95	$66.07