Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $310.39 / $463.80	Facility		$76.59	$310.39	$463.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $74.16 / $111.96	Professional		$51.06	$74.16	$111.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $59.09	Professional		$42.55	$42.55	$59.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.06 / $271.47 / $486.86	Facility		$105.06	$271.47	$486.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $46.80 / $119.14	Professional		$5.00	$46.80	$119.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $131.91 / $466.32	Facility		$80.84	$131.91	$466.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $121.97 / $191.48	Professional		$76.59	$121.97	$191.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $89.35 / $89.35	Facility		$85.10	$89.35	$89.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.47 / $195.38 / $450.86	Facility		$97.47	$195.38	$450.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $63.31 / $187.64	Professional		$48.22	$63.31	$187.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $198.29 / $405.72 / $405.72	Facility		$198.29	$405.72	$405.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $638.25 / $699.71 / $699.71	Professional		$638.25	$699.71	$699.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $110.63 / $212.07	Facility		$69.84	$110.63	$212.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $85.10 / $142.66	Professional		$30.60	$85.10	$142.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $159.87 / $218.76 / $767.09	Facility		$159.87	$218.76	$767.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.93 / $127.65 / $308.30	Facility		$68.93	$127.65	$308.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $84.33 / $165.46	Professional		$48.22	$84.33	$165.46
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $48.76 / $85.10	Professional		$35.74	$48.76	$85.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $44.08 / $85.10	Professional		$42.02	$44.08	$85.10