Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $174.20 / $354.00	Facility		$50.23	$174.20	$354.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $30.77 / $43.19	Professional		$23.56	$30.77	$43.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $23.56 / $39.26	Professional		$13.74	$23.56	$39.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $117.32 / $208.08	Facility		$42.40	$117.32	$208.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $21.59 / $26.82	Professional		$5.00	$21.59	$26.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $60.85 / $237.88	Facility		$33.20	$60.85	$237.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $39.26 / $62.82	Professional		$27.48	$39.26	$62.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $51.74 / $51.74	Facility		$39.26	$51.74	$51.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.24 / $78.09 / $171.89	Facility		$27.24	$78.09	$171.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $33.99 / $68.36	Professional		$20.81	$33.99	$68.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $186.49 / $186.49	Facility		$80.00	$186.49	$186.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $50.36 / $64.93	Professional		$35.14	$50.36	$64.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $41.22 / $371.72	Facility		$30.78	$41.22	$371.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $39.26 / $44.23	Professional		$33.36	$39.26	$44.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,334.75 / $1,829.44 / $3,153.00	Facility		$1,334.75	$1,829.44	$3,153.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $39.26 / $98.14	Facility		$29.84	$39.26	$98.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $37.17 / $64.73	Professional		$20.81	$37.17	$64.73
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.48 / $39.26	Facility		$14.13	$16.48	$39.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $19.45 / $27.71	Professional		$16.48	$19.45	$27.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $39.26	Professional		$16.76	$16.76	$39.26