Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $179.17 / $529.27	Facility		$67.50	$179.17	$529.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $76.70 / $134.93	Professional		$51.25	$76.70	$134.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $61.36 / $61.36	Professional		$61.36	$61.36	$61.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.96 / $260.76 / $579.80	Facility		$133.96	$260.76	$579.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $56.24 / $143.16	Professional		$5.00	$56.24	$143.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $104.89 / $230.09	Professional		$71.58	$104.89	$230.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $102.26 / $102.26	Facility		$102.26	$102.26	$102.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $240.00 / $516.42	Facility		$131.66	$240.00	$516.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $97.22 / $173.89	Professional		$51.77	$97.22	$173.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $250.54 / $1,569.67 / $1,569.67	Facility		$250.54	$1,569.67	$1,569.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $511.30 / $511.30 / $766.95	Professional		$511.30	$511.30	$766.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $102.26 / $153.38	Facility		$64.42	$102.26	$153.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $102.26 / $127.83	Professional		$97.15	$102.26	$127.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $313.52 / $324.62 / $405.61	Facility		$313.52	$324.62	$405.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $122.71 / $230.09	Professional		$66.47	$122.71	$230.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.58 / $138.05 / $516.42	Facility		$71.58	$138.05	$516.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $119.23 / $178.96	Professional		$52.09	$119.23	$178.96
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $65.45	Professional		$42.95	$42.95	$65.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $102.26 / $138.05	Professional		$39.88	$102.26	$138.05