Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $123.58 / $366.30	Facility		$26.67	$123.58	$366.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $28.42 / $46.17	Professional		$21.05	$28.42	$46.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $110.49 / $205.38	Facility		$41.76	$110.49	$205.38
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 $35.09 / $54.39 / $201.00	Facility		$35.09	$54.39	$201.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.15 / $68.66	Professional		$30.20	$36.15	$68.66
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 $88.87 / $167.46 / $236.00	Facility		$88.87	$167.46	$236.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $325.62 / $325.62	Professional		$325.62	$325.62	$325.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $52.09 / $87.97	Facility		$28.10	$52.09	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $48.69	Professional		$35.09	$35.09	$48.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.88 / $1,877.34 / $3,377.37	Facility		$1,154.88	$1,877.34	$3,377.37
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 Facility Modifier Low / Median / High Price $26.48 / $35.09 / $43.86	Facility		$26.48	$35.09	$43.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $29.42	Professional		$14.74	$20.60	$29.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09