Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $65.91 / $197.43	Facility		$25.60	$65.91	$197.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $31.41 / $43.88	Professional		$21.94	$31.41	$43.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $21.94 / $25.39	Professional		$17.55	$21.94	$25.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $120.68 / $213.96	Facility		$45.35	$120.68	$213.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.38 / $32.54	Professional		$5.00	$19.38	$32.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $58.51 / $216.43	Facility		$36.57	$58.51	$216.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $36.57 / $54.86	Professional		$27.43	$36.57	$54.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $34.58 / $36.57	Facility		$34.58	$34.58	$36.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $80.34 / $185.11	Facility		$25.55	$80.34	$185.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $27.22 / $55.75	Professional		$19.38	$27.22	$55.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $186.52 / $231.00	Facility		$146.69	$186.52	$231.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $36.57 / $47.54	Facility		$29.26	$36.57	$47.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $36.57 / $47.65	Professional		$32.90	$36.57	$47.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $109.36 / $1,021.91	Facility		$79.92	$109.36	$1,021.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $36.57 / $91.14	Facility		$29.26	$36.57	$91.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $28.44 / $52.83	Professional		$19.38	$28.44	$52.83
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.11 / $38.32	Professional		$15.36	$21.11	$38.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $18.05 / $36.57	Professional		$14.26	$18.05	$36.57