Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $324.47 / $909.33	Facility		$122.23	$324.47	$909.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $138.90 / $298.17	Professional		$100.93	$138.90	$298.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $111.12	Professional		$100.00	$100.00	$111.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.72 / $450.78 / $950.08	Facility		$203.72	$450.78	$950.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $101.86 / $259.27	Professional		$5.00	$101.86	$259.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $176.94 / $217.35 / $324.10	Facility		$176.94	$217.35	$324.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $166.68 / $259.27	Professional		$129.63	$166.68	$259.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $194.46 / $194.46	Facility		$185.20	$194.46	$194.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $434.66 / $825.86	Facility		$120.38	$434.66	$825.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $107.06 / $291.48	Professional		$85.07	$107.06	$291.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $453.74 / $879.70 / $879.70	Facility		$453.74	$879.70	$879.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $922.30 / $922.30 / $1,389.00	Professional		$922.30	$922.30	$1,389.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.97 / $185.20 / $277.80	Facility		$112.97	$185.20	$277.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $270.39	Professional		$185.20	$185.20	$270.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $228.18 / $311.39 / $779.06	Facility		$228.18	$311.39	$779.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $222.24 / $416.70	Professional		$120.38	$222.24	$416.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.02 / $190.68 / $666.79	Facility		$124.02	$190.68	$666.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $175.15 / $290.50	Professional		$88.04	$175.15	$290.50
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $111.12	Professional		$77.78	$77.78	$111.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $185.20 / $250.02	Professional		$72.23	$185.20	$250.02