Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $137.37 / $435.06	Facility		$72.86	$137.37	$435.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $105.43	Professional		$73.48	$73.48	$105.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $24.60 / $69.75	Professional		$24.60	$24.60	$69.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $81.37 / $160.27	Facility		$30.94	$81.37	$160.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $73.48 / $73.48	Professional		$44.09	$73.48	$73.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $87.86 / $132.28	Facility		$63.26	$87.86	$132.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $98.41 / $118.32	Professional		$70.00	$98.41	$118.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.88 / $68.88 / $73.48	Facility		$68.88	$68.88	$73.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $50.20 / $176.01	Facility		$44.41	$50.20	$176.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $73.48 / $102.59	Professional		$61.68	$73.48	$102.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.46 / $333.88 / $333.88	Facility		$112.46	$333.88	$333.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $350.04 / $527.17	Professional		$88.35	$350.04	$527.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $83.81 / $199.31	Facility		$70.29	$83.81	$199.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $70.29 / $127.22	Professional		$22.95	$70.29	$127.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $179.38 / $243.90 / $1,183.40	Facility		$179.38	$243.90	$1,183.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $73.80 / $127.93	Professional		$45.69	$73.80	$127.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.75 / $73.48 / $133.55	Facility		$59.75	$73.48	$133.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $61.68 / $91.57	Professional		$35.58	$61.68	$91.57
United Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $34.40 / $50.22	Professional		$32.45	$34.40	$50.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $27.42 / $70.29	Professional		$19.78	$27.42	$70.29