Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $183.38 / $367.20	Facility		$34.53	$183.38	$367.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.40 / $51.41	Professional		$25.70	$36.40	$51.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $21.42 / $51.41	Professional		$21.42	$21.42	$51.41
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 / $167.91	Facility		$40.70	$64.26	$167.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $44.03 / $69.68	Professional		$38.56	$44.03	$69.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $44.98 / $44.98	Facility		$42.84	$44.98	$44.98
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 / $204.03 / $204.03	Facility		$112.68	$204.03	$204.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $416.07 / $416.07 / $416.07	Professional		$416.07	$416.07	$416.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $55.39 / $103.09	Facility		$33.42	$55.39	$103.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $53.55	Professional		$42.84	$42.84	$53.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $219.53 / $300.47 / $2,386.67	Facility		$219.53	$300.47	$2,386.67
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 / $42.34 / $83.30	Professional		$24.82	$42.34	$83.30
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.54 / $36.40	Professional		$17.98	$24.54	$36.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $22.19 / $42.84	Professional		$21.15	$22.19	$42.84