Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $183.23 / $308.06	Facility		$51.93	$183.23	$308.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $52.70 / $61.98	Professional		$45.83	$52.70	$61.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $41.32 / $43.04	Professional		$29.75	$41.32	$43.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.76 / $195.86 / $341.51	Facility		$73.76	$195.86	$341.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $34.09 / $43.39	Professional		$5.00	$34.09	$43.39
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $99.17 / $330.53	Facility		$57.27	$99.17	$330.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $61.98 / $105.39	Professional		$43.39	$61.98	$105.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.36 / $61.36 / $61.98	Facility		$61.36	$61.36	$61.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $135.37 / $283.75	Facility		$43.31	$135.37	$283.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $45.31 / $104.49	Professional		$32.85	$45.31	$104.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $296.01 / $296.01	Facility		$147.72	$296.01	$296.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $90.68 / $103.03	Professional		$55.76	$90.68	$103.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $61.98 / $77.48	Facility		$49.58	$61.98	$77.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $61.98 / $80.77	Professional		$55.78	$61.98	$80.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $126.16 / $334.22	Facility		$92.19	$126.16	$334.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $61.98 / $155.86	Facility		$49.58	$61.98	$155.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $47.66 / $88.79	Professional		$32.85	$47.66	$88.79
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $35.46 / $41.52	Professional		$26.03	$35.46	$41.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $30.61 / $61.98	Professional		$24.17	$30.61	$61.98