Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $158.49 / $363.08	Facility		$47.86	$158.49	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $95.50	Professional		$22.91	$31.62	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.38 / $39.81	Professional		$9.55	$17.38	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $104.71 / $194.98	Facility		$38.02	$104.71	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.50 / $47.86	Professional		$5.01	$19.50	$47.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $57.54 / $257.04	Facility		$32.36	$57.54	$257.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $47.86 / $79.43	Professional		$7.08	$47.86	$79.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $48.98 / $48.98	Facility		$35.48	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $190.55	Facility		$38.90	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $85.11	Professional		$19.95	$27.54	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $288.40 / $288.40	Professional		$42.66	$288.40	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $104.71 / $323.59	Facility		$26.92	$104.71	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $70.79	Professional		$19.50	$31.62	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $35.48	Professional		$29.51	$29.51	$35.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $371.54 / $407.38	Facility		$131.83	$371.54	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $79.43	Professional		$22.91	$38.90	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $56.23 / $123.03	Facility		$27.54	$56.23	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $74.13	Professional		$19.95	$32.36	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $35.48	Facility		$12.59	$14.79	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $30.20	Professional		$14.79	$20.42	$30.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $35.48	Professional		$13.80	$29.51	$35.48