Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.78 / $156.00 / $268.24	Facility		$35.78	$156.00	$268.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $31.59 / $61.52	Professional		$23.11	$31.59	$61.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $37.27	Professional		$18.64	$18.64	$37.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $115.68 / $215.05	Facility		$43.33	$115.68	$215.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.50 / $52.18	Professional		$5.00	$20.50	$52.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $55.91 / $207.70	Facility		$35.40	$55.91	$207.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $38.31 / $60.62	Professional		$26.09	$38.31	$60.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $37.27	Facility		$36.90	$36.90	$37.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $81.54 / $177.18	Facility		$40.86	$81.54	$177.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $27.44 / $77.45	Professional		$19.88	$27.44	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $177.03 / $177.03	Facility		$75.31	$177.03	$177.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.24 / $194.24 / $279.52	Professional		$194.24	$194.24	$279.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $43.77 / $112.29	Facility		$26.09	$43.77	$112.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $37.27 / $49.70	Professional		$26.25	$37.27	$49.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $81.84 / $216.82	Facility		$59.81	$81.84	$216.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $45.10 / $83.86	Professional		$24.23	$45.10	$83.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $53.54 / $156.91	Facility		$29.84	$53.54	$156.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $35.40 / $68.23	Professional		$20.26	$35.40	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $20.88 / $27.70	Professional		$15.65	$20.88	$27.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $19.30 / $37.27	Professional		$17.32	$19.30	$37.27