Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $278.30 / $474.39	Facility		$68.75	$278.30	$474.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $67.83 / $109.99	Professional		$55.00	$67.83	$109.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $55.00	Professional		$45.83	$45.83	$55.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.65 / $294.24 / $528.88	Facility		$112.65	$294.24	$528.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $50.41 / $128.32	Professional		$5.00	$50.41	$128.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $132.91 / $205.60	Facility		$91.66	$132.91	$205.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $82.49 / $128.32	Professional		$64.16	$82.49	$128.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $96.24 / $96.24	Facility		$91.66	$96.24	$96.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.85 / $213.16 / $462.76	Facility		$82.85	$213.16	$462.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $86.92 / $181.00	Professional		$47.18	$86.92	$181.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $198.25 / $435.39 / $435.39	Facility		$198.25	$435.39	$435.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $458.30 / $458.30 / $687.45	Professional		$458.30	$458.30	$687.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $91.66 / $156.11	Facility		$57.75	$91.66	$156.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $91.66 / $133.82	Professional		$87.08	$91.66	$133.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $383.18 / $524.37 / $1,443.58	Facility		$383.18	$524.37	$1,443.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $109.99 / $206.24	Professional		$59.58	$109.99	$206.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $112.46 / $396.35	Facility		$67.17	$112.46	$396.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $105.41 / $166.73	Professional		$47.18	$105.41	$166.73
United Facility/Professional Facility Modifier Low / Median / High Price $52.53 / $91.66 / $150.88	Facility		$52.53	$91.66	$150.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $52.53 / $67.90	Professional		$38.50	$52.53	$67.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $91.66 / $123.74	Professional		$35.75	$91.66	$123.74