Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.36 / $133.13 / $292.50	Facility		$47.36	$133.13	$292.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $25.68 / $48.39	Professional		$17.76	$25.68	$48.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $17.76 / $29.60	Professional		$10.36	$17.76	$29.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $92.06 / $164.63	Facility		$32.56	$92.06	$164.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.69 / $22.36	Professional		$5.00	$15.69	$22.36
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $44.40 / $291.20	Facility		$26.64	$44.40	$291.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $31.08 / $47.66	Professional		$23.68	$31.08	$47.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $29.30 / $29.60	Facility		$29.30	$29.30	$29.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $65.03 / $149.40	Facility		$20.69	$65.03	$149.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $23.81 / $51.98	Professional		$15.69	$23.81	$51.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.58 / $141.54 / $141.54	Facility		$84.58	$141.54	$141.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $37.96 / $52.92	Professional		$26.64	$37.96	$52.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $29.60 / $232.28	Facility		$24.44	$29.60	$232.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $29.60 / $54.76	Professional		$26.64	$29.60	$54.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $99.22 / $135.75 / $359.63	Facility		$99.22	$135.75	$359.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $29.60 / $74.62	Facility		$23.68	$29.60	$74.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.82 / $49.05	Professional		$15.69	$24.82	$49.05
United Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $29.60 / $48.73	Facility		$17.80	$29.60	$48.73
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.05 / $30.45	Professional		$12.43	$17.05	$30.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $16.78 / $29.60	Professional		$11.54	$16.78	$29.60