Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $152.99 / $361.09	Facility		$51.00	$152.99	$361.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $31.35 / $62.71	Professional		$21.40	$31.35	$62.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $45.62	Professional		$17.55	$17.55	$45.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $104.92 / $193.70	Facility		$38.60	$104.92	$193.70
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 $31.58 / $50.88 / $215.25	Facility		$31.58	$50.88	$215.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $47.72 / $85.44	Professional		$24.56	$47.72	$85.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $49.13 / $49.13	Facility		$35.09	$49.13	$49.13
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 / $79.88	Professional		$19.88	$26.01	$79.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $167.46 / $167.46	Facility		$73.45	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $289.44 / $289.44	Professional		$61.07	$289.44	$289.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $64.62 / $261.70	Facility		$30.18	$64.62	$261.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $43.86 / $87.13	Professional		$15.00	$43.86	$87.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $180.54 / $458.16	Facility		$131.94	$180.54	$458.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $42.11 / $78.95	Professional		$22.81	$42.11	$78.95
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 / $71.93	Professional		$20.26	$34.74	$71.93
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $29.03	Professional		$14.74	$20.60	$29.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09