Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $109.55 / $181.62	Facility		$26.67	$109.55	$181.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $38.14 / $63.28	Professional		$21.05	$38.14	$63.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $23.88	Professional		$17.55	$17.55	$23.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $107.02 / $207.03	Facility		$38.60	$107.02	$207.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $54.39 / $215.25	Facility		$35.09	$54.39	$215.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $50.49 / $85.44	Professional		$31.58	$50.49	$85.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $36.85 / $36.85	Facility		$35.09	$36.85	$36.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $80.56 / $186.82	Facility		$40.20	$80.56	$186.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $77.45	Professional		$19.88	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $167.46 / $167.46	Facility		$88.87	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $289.44 / $289.44 / $289.44	Professional		$289.44	$289.44	$289.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $52.09 / $87.97	Facility		$27.37	$52.09	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $35.09 / $61.60	Professional		$34.04	$35.09	$61.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $333.34 / $455.30 / $1,132.11	Facility		$333.34	$455.30	$1,132.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $38.60 / $63.86	Professional		$22.81	$38.60	$63.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $56.40 / $127.08	Facility		$28.80	$56.40	$127.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $35.09 / $43.86	Facility		$26.48	$35.09	$43.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.22 / $29.42	Professional		$14.74	$20.22	$29.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $29.48 / $35.09	Professional		$17.32	$29.48	$35.09