Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $125.89 / $346.74	Facility		$51.29	$125.89	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $97.72	Professional		$43.65	$60.26	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $57.54	Professional		$32.36	$40.74	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $223.87 / $389.05	Facility		$91.20	$223.87	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $37.15 / $64.57	Professional		$5.01	$37.15	$64.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $100.00 / $389.05	Facility		$50.12	$100.00	$389.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $114.82	Professional		$46.77	$69.18	$114.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $138.04 / $338.84	Facility		$64.57	$138.04	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $141.25	Professional		$35.48	$48.98	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $102.33	Professional		$57.54	$64.57	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $67.61 / $302.00	Facility		$48.98	$67.61	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $114.82	Professional		$39.81	$60.26	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $56.23	Professional		$50.12	$56.23	$56.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $245.47 / $269.15	Facility		$117.49	$245.47	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $67.61 / $194.98	Facility		$53.70	$67.61	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $114.82	Professional		$38.02	$51.29	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $40.74 / $67.61	Facility		$23.99	$40.74	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $93.33	Professional		$28.18	$39.81	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30