Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $121.97 / $338.25	Facility		$48.37	$121.97	$338.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $49.67 / $78.43	Professional		$39.22	$49.67	$78.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $39.22 / $107.84	Professional		$39.22	$39.22	$107.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $211.77 / $387.58	Facility		$80.33	$211.77	$387.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $35.95 / $91.50	Professional		$5.00	$35.95	$91.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $98.04 / $170.17	Facility		$62.09	$98.04	$170.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $66.95 / $105.93	Professional		$45.75	$66.95	$105.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $65.36 / $65.36	Facility		$65.36	$65.36	$65.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.10 / $151.97 / $330.53	Facility		$59.10	$151.97	$330.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $62.13 / $129.00	Professional		$33.65	$62.13	$129.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.36 / $310.45 / $310.45	Facility		$141.36	$310.45	$310.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $490.20	Professional		$326.80	$326.80	$490.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $65.36 / $111.32	Facility		$41.18	$65.36	$111.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $65.36 / $81.70	Professional		$62.09	$65.36	$81.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $78.43 / $147.06	Professional		$42.48	$78.43	$147.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $80.28 / $282.66	Facility		$49.02	$80.28	$282.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $75.16 / $118.91	Professional		$37.00	$75.16	$118.91
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $37.45 / $53.42	Professional		$27.45	$37.45	$53.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $65.36 / $88.24	Professional		$25.49	$65.36	$88.24