Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $266.14 / $815.51	Facility		$105.55	$266.14	$815.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $103.11 / $142.63	Professional		$79.87	$103.11	$142.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $71.31	Professional		$71.31	$71.31	$71.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.01 / $347.16 / $731.69	Facility		$174.01	$347.16	$731.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $78.45 / $199.68	Professional		$5.00	$78.45	$199.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $156.88 / $232.09	Facility		$128.37	$156.88	$232.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $146.41 / $228.21	Professional		$120.00	$146.41	$228.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $135.50 / $135.50 / $142.63	Facility		$135.50	$135.50	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $334.75 / $635.64	Facility		$92.71	$334.75	$635.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $82.46 / $224.47	Professional		$65.52	$82.46	$224.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $228.21 / $677.49 / $677.49	Facility		$228.21	$677.49	$677.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $710.30 / $710.30 / $1,069.73	Professional		$710.30	$710.30	$1,069.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $142.63 / $230.04	Facility		$87.00	$142.63	$230.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $240.75	Professional		$142.63	$142.63	$240.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $263.22 / $360.19 / $460.03	Facility		$263.22	$360.19	$460.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $171.16 / $259.58	Professional		$135.50	$171.16	$259.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.51 / $146.85 / $513.49	Facility		$95.51	$146.85	$513.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $134.80 / $223.75	Professional		$67.53	$134.80	$223.75
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $91.28	Professional		$59.90	$59.90	$91.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $96.56 / $142.63	Professional		$57.05	$96.56	$142.63