Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $73.73 / $270.05	Facility		$42.13	$73.73	$270.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $84.26	Professional		$42.13	$42.13	$84.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $25.28 / $26.33	Professional		$14.55	$25.28	$26.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $83.00 / $215.71	Facility		$42.13	$83.00	$215.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $42.13 / $42.13	Professional		$25.28	$42.13	$42.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $63.20 / $183.02	Facility		$29.49	$63.20	$183.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $37.92 / $63.20	Professional		$29.49	$37.92	$63.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $29.08 / $162.91	Facility		$28.65	$29.08	$162.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $42.13 / $65.98	Professional		$21.99	$42.13	$65.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $200.12 / $200.12	Facility		$67.41	$200.12	$200.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $52.66	Facility		$42.13	$42.13	$52.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $42.13 / $42.13	Professional		$37.92	$42.13	$42.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $402.16 / $570.47 / $1,465.41	Facility		$402.16	$570.47	$1,465.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $50.56	Facility		$42.13	$42.13	$50.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $40.02 / $44.24	Professional		$21.99	$40.02	$44.24
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $42.13	Professional		$17.69	$17.69	$42.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.85 / $42.13	Professional		$16.43	$16.85	$42.13