Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $263.38 / $738.12	Facility		$100.72	$263.38	$738.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $111.24 / $173.88	Professional		$84.18	$111.24	$173.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $150.33	Professional		$150.33	$150.33	$150.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.41 / $371.32 / $777.21	Facility		$186.41	$371.32	$777.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $82.68 / $210.46	Professional		$5.00	$82.68	$210.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $143.62 / $202.95 / $263.08	Facility		$143.62	$202.95	$263.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $135.30 / $210.46	Professional		$105.23	$135.30	$210.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $192.96 / $192.96	Facility		$150.33	$192.96	$192.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $352.80 / $670.39	Facility		$97.71	$352.80	$670.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $86.90 / $236.46	Professional		$69.05	$86.90	$236.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $368.31 / $883.04 / $883.04	Facility		$368.31	$883.04	$883.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $748.64 / $748.64 / $1,127.48	Professional		$748.64	$748.64	$1,127.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.70 / $150.33 / $225.50	Facility		$91.70	$150.33	$225.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $219.48	Professional		$150.33	$150.33	$219.48
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 $97.71 / $180.40 / $338.24	Professional		$97.71	$180.40	$338.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $154.78 / $540.91	Facility		$100.66	$154.78	$540.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $135.30 / $235.79	Professional		$71.16	$135.30	$235.79
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $96.21	Professional		$63.14	$63.14	$96.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $150.33 / $202.95	Professional		$58.63	$150.33	$202.95