Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.35 / $121.91 / $310.45	Facility		$48.35	$121.91	$310.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $47.04 / $75.14	Professional		$36.59	$47.04	$75.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $39.20 / $39.20	Professional		$39.20	$39.20	$39.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.94 / $161.38 / $337.81	Facility		$84.94	$161.38	$337.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $35.94 / $91.48	Professional		$5.00	$35.94	$91.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $62.07 / $98.01 / $1,071.79	Facility		$62.07	$98.01	$1,071.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $66.95 / $113.04	Professional		$45.74	$66.95	$113.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $80.05 / $80.05	Facility		$65.34	$80.05	$80.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $143.55 / $289.48	Facility		$41.11	$143.55	$289.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $51.94 / $111.41	Professional		$30.24	$51.94	$111.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.65 / $310.37 / $310.37	Facility		$134.65	$310.37	$310.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $326.70 / $490.05	Professional		$326.70	$326.70	$490.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $65.41 / $111.27	Facility		$41.16	$65.41	$111.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $65.34 / $81.68	Professional		$61.75	$65.34	$81.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $78.41 / $147.01	Professional		$42.47	$78.41	$147.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $76.75 / $238.68	Facility		$43.17	$76.75	$238.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $75.14 / $111.41	Professional		$33.31	$75.14	$111.41
United Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $32.93 / $65.34	Facility		$32.93	$32.93	$65.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $27.44 / $41.82	Professional		$25.01	$27.44	$41.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $65.34 / $88.21	Professional		$25.48	$65.34	$88.21