Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.37 / $239.38 / $663.98	Facility		$92.37	$239.38	$663.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $89.80 / $164.11	Professional		$67.98	$89.80	$164.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $64.15 / $64.15	Professional		$64.15	$64.15	$64.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $395.95 / $695.33	Facility		$152.66	$395.95	$695.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $70.56 / $179.61	Professional		$5.00	$70.56	$179.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $118.54 / $198.85 / $720.11	Facility		$118.54	$198.85	$720.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $89.80 / $179.61	Professional		$89.80	$89.80	$179.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $128.29 / $128.29	Facility		$80.00	$128.29	$128.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $298.33 / $647.83	Facility		$128.69	$298.33	$647.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $93.81 / $263.74	Professional		$72.70	$93.81	$263.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.35 / $609.38 / $609.38	Facility		$275.35	$609.38	$609.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $641.45 / $641.45 / $962.18	Professional		$641.45	$641.45	$962.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.97 / $128.29 / $218.47	Facility		$76.97	$128.29	$218.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $128.29 / $160.36	Professional		$121.88	$128.29	$160.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.03 / $269.14 / $396.84	Facility		$208.03	$269.14	$396.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $141.12 / $288.64	Professional		$141.12	$141.12	$288.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.93 / $155.58 / $647.83	Facility		$94.93	$155.58	$647.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $122.01 / $247.53	Professional		$74.29	$122.01	$247.53
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $73.31 / $104.75	Professional		$53.88	$73.31	$104.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $66.45 / $128.29	Professional		$63.35	$66.45	$128.29