Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $131.83 / $331.13	Facility		$35.48	$131.83	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $56.23	Professional		$28.84	$41.69	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $39.81	Professional		$22.39	$28.18	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $158.49 / $275.42	Facility		$61.66	$158.49	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $25.70 / $42.66	Professional		$5.01	$25.70	$42.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $269.15	Facility		$43.65	$67.61	$269.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $75.86	Professional		$33.11	$47.86	$75.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $48.98 / $48.98	Facility		$46.77	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.72 / $251.19	Facility		$45.71	$97.72	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $79.43	Professional		$25.12	$33.11	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $70.79	Professional		$39.81	$44.67	$70.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $46.77 / $234.42	Facility		$35.48	$46.77	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $61.66	Professional		$28.18	$42.66	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $39.81	Professional		$35.48	$39.81	$39.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $660.69 / $741.31	Facility		$239.88	$660.69	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $131.83	Facility		$37.15	$46.77	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $79.43	Professional		$26.92	$34.67	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.18 / $46.77	Facility		$16.98	$28.18	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $39.81	Professional		$19.95	$27.54	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $46.77	Professional		$18.20	$18.20	$46.77