Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.12 / $218.89 / $547.79	Facility		$41.12	$218.89	$547.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $32.56 / $51.41	Professional		$25.69	$32.56	$51.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $42.84	Professional		$25.70	$25.70	$42.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $131.94 / $242.05	Facility		$44.98	$131.94	$242.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $23.56 / $59.98	Professional		$5.00	$23.56	$59.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $64.26 / $174.01	Facility		$40.70	$64.26	$174.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $42.84 / $69.68	Professional		$29.99	$42.84	$69.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $41.98 / $42.84	Facility		$41.98	$41.98	$42.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $98.44 / $226.32	Facility		$49.07	$98.44	$226.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $31.86 / $94.36	Professional		$24.30	$31.86	$94.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.68 / $380.47 / $380.47	Facility		$112.68	$380.47	$380.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $506.52 / $506.52 / $506.52	Professional		$506.52	$506.52	$506.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.31 / $55.69 / $112.85	Facility		$34.31	$55.69	$112.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $42.84 / $62.55	Professional		$26.10	$42.84	$62.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $227.78 / $311.70 / $2,966.43	Facility		$227.78	$311.70	$2,966.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $53.55 / $96.39	Professional		$47.12	$53.55	$96.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $64.59 / $156.52	Facility		$35.15	$64.59	$156.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $42.40 / $83.30	Professional		$24.82	$42.40	$83.30
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.14 / $35.45	Professional		$17.98	$25.14	$35.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $22.19 / $42.84	Professional		$21.15	$22.19	$42.84