Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $57.63 / $152.41	Facility		$28.13	$57.63	$152.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $45.23 / $48.51	Professional		$38.44	$45.23	$48.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $17.67 / $17.67	Professional		$17.67	$17.67	$17.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $45.23 / $215.75	Facility		$34.83	$45.23	$215.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $45.23 / $45.23	Professional		$27.14	$45.23	$45.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $53.15 / $117.81	Facility		$32.65	$53.15	$117.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $45.23 / $67.84	Professional		$24.73	$45.23	$67.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Facility		$45.23	$45.23	$45.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $24.51 / $70.59	Facility		$22.32	$24.51	$70.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $35.31 / $51.00	Professional		$19.88	$35.31	$51.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $167.82 / $167.82	Facility		$56.53	$167.82	$167.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $39.77 / $58.49	Professional		$29.99	$39.77	$58.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $102.20	Facility		$35.33	$35.33	$102.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $35.33 / $81.25	Professional		$31.80	$35.33	$81.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $138.22 / $187.78 / $602.05	Facility		$138.22	$187.78	$602.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $35.33 / $45.23	Facility		$33.19	$35.33	$45.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $33.56 / $45.23	Professional		$18.72	$33.56	$45.23
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $42.77 / $54.44	Facility		$19.05	$42.77	$54.44
United Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $18.95 / $35.33	Professional		$17.87	$18.95	$35.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $14.13 / $35.33	Professional		$13.78	$14.13	$35.33