Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $112.07 / $331.03	Facility		$42.21	$112.07	$331.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $47.97 / $76.93	Professional		$38.38	$47.97	$76.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $38.38 / $38.38	Professional		$38.38	$38.38	$38.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $163.10 / $377.36	Facility		$83.79	$163.10	$377.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $35.18 / $89.54	Professional		$5.00	$35.18	$89.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $86.99 / $143.91	Professional		$44.77	$86.99	$143.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $63.32 / $63.96	Facility		$63.32	$63.32	$63.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $139.66 / $283.47	Facility		$43.91	$139.66	$283.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $60.84 / $100.79	Professional		$30.05	$60.84	$100.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $303.81 / $303.81	Facility		$138.16	$303.81	$303.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $319.80 / $479.70	Professional		$319.80	$319.80	$479.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $63.96 / $95.94	Facility		$40.29	$63.96	$95.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $63.96 / $79.95	Professional		$60.76	$63.96	$79.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $803.86 / $803.86 / $1,040.01	Facility		$803.86	$803.86	$1,040.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $76.75 / $143.91	Professional		$41.57	$76.75	$143.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $75.13 / $214.27	Facility		$43.91	$75.13	$214.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $73.55 / $101.21	Professional		$32.58	$73.55	$101.21
United Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $63.96 / $76.75	Facility		$26.86	$63.96	$76.75
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $40.93	Professional		$26.86	$26.86	$40.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $63.96 / $86.35	Professional		$24.94	$63.96	$86.35