Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $246.31 / $711.97	Facility		$53.68	$246.31	$711.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $25.86 / $35.40	Professional		$17.71	$25.86	$35.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $46.86 / $61.38	Professional		$26.06	$46.86	$61.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.40 / $766.62 / $1,466.08	Facility		$249.40	$766.62	$1,466.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $7.67 / $7.67	Professional		$6.52	$7.67	$7.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $42.65 / $401.00 / $798.82	Facility		$42.65	$401.00	$798.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $42.65 / $47.30	Professional		$13.73	$42.65	$47.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $346.72 / $346.72 / $346.72	Facility		$346.72	$346.72	$346.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $50.55 / $180.37	Facility		$15.23	$50.55	$180.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $23.01 / $45.95	Professional		$13.90	$23.01	$45.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $172.43 / $186.30	Facility		$105.55	$172.43	$186.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.78 / $47.98	Facility		$20.89	$27.78	$47.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $32.70 / $59,999.40	Professional		$5.40	$32.70	$59,999.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $843.21 / $1,465.41 / $2,085.09	Facility		$843.21	$1,465.41	$2,085.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $31.64 / $126.66	Facility		$20.89	$31.64	$126.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $15.23 / $61.15	Professional		$13.65	$15.23	$61.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $18.76 / $27.07	Professional		$12.08	$18.76	$27.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $18.29 / $24.87	Professional		$17.82	$18.29	$24.87