Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.12 / $248.72 / $442.04	Facility		$41.12	$248.72	$442.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.34 / $51.41	Professional		$25.70	$37.34	$51.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $21.42 / $42.84	Professional		$21.42	$21.42	$42.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $131.94 / $247.19	Facility		$44.98	$131.94	$247.19
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 / $66.40 / $185.16	Facility		$40.70	$66.40	$185.16
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 / $42.84 / $42.84	Facility		$42.84	$42.84	$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 / $211.27 / $211.27	Facility		$112.68	$211.27	$211.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $479.00 / $635.00 / $635.00	Professional		$479.00	$635.00	$635.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $55.68 / $112.85	Facility		$33.42	$55.68	$112.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $42.84 / $64.26	Professional		$40.35	$42.84	$64.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $376.41 / $515.12 / $1,140.84	Facility		$376.41	$515.12	$1,140.84
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