Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $77.62 / $213.80	Facility		$30.90	$77.62	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $58.88	Professional		$21.88	$33.11	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $35.48	Professional		$13.80	$13.80	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $134.90 / $239.88	Facility		$51.29	$134.90	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $23.99 / $56.23	Professional		$5.01	$23.99	$56.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $56.23 / $58.88	Professional		$29.51	$56.23	$58.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $93.33 / $218.78	Facility		$46.77	$93.33	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $91.20	Professional		$23.99	$32.36	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $346.74	Professional		$316.23	$316.23	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $47.86 / $112.20	Facility		$31.62	$47.86	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $33.11 / $52.48	Professional		$7.94	$33.11	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $41.69	Professional		$35.48	$35.48	$41.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $89.13	Professional		$40.74	$44.67	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $63.10 / $138.04	Facility		$33.11	$63.10	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $87.10	Professional		$23.99	$38.90	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.38 / $41.69	Facility		$15.14	$17.38	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $35.48	Professional		$17.38	$24.55	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $35.48 / $41.69	Professional		$16.22	$35.48	$41.69