Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $67.61 / $199.53	Facility		$25.70	$67.61	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $53.70	Professional		$23.99	$30.90	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $56.23	Professional		$17.38	$21.88	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $123.03 / $218.78	Facility		$50.12	$123.03	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.95 / $35.48	Professional		$5.01	$19.95	$35.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $54.95 / $223.87	Facility		$33.88	$54.95	$223.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $58.88	Professional		$25.70	$38.02	$58.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $36.31	Facility		$33.88	$33.88	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $79.43 / $194.98	Facility		$35.48	$79.43	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $61.66	Professional		$19.50	$26.92	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $229.09	Facility		$186.21	$229.09	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $36.31 / $75.86	Facility		$27.54	$36.31	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $48.98	Professional		$20.89	$32.36	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $30.90	Professional		$27.54	$30.90	$30.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $223.87 / $245.47	Facility		$107.15	$223.87	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $36.31 / $107.15	Facility		$29.51	$36.31	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $60.26	Professional		$20.89	$28.18	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $21.88 / $36.31	Facility		$13.18	$21.88	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $41.69	Professional		$15.49	$21.38	$41.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $36.31	Professional		$14.13	$14.13	$36.31