Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $106.42 / $226.84	Facility		$26.53	$106.42	$226.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $25.97 / $54.33	Professional		$19.64	$25.97	$54.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $112.64 / $211.75	Facility		$43.33	$112.64	$211.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $161.30 / $161.30 / $227.00	Facility		$161.30	$161.30	$227.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $80.00	Facility		$35.09	$35.09	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $80.56 / $186.82	Facility		$40.20	$80.56	$186.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $77.45	Professional		$19.88	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $207.81 / $207.81	Facility		$92.96	$207.81	$207.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $361.80 / $361.80	Professional		$361.80	$361.80	$361.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $52.09 / $87.97	Facility		$27.37	$52.09	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.79 / $52.64	Professional		$33.34	$35.79	$52.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $430.20 / $556.55 / $1,242.30	Facility		$430.20	$556.55	$1,242.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $56.40 / $127.08	Facility		$28.80	$56.40	$127.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.22 / $30.16	Professional		$14.74	$20.22	$30.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $35.09	Professional		$17.32	$17.32	$35.09