Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $100.60 / $166.75	Facility		$26.53	$100.60	$166.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $29.84 / $45.62	Professional		$19.64	$29.84	$45.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $21.05	Professional		$17.55	$17.55	$21.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $85.41 / $181.06	Facility		$39.29	$85.41	$181.06
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 / $40.35 / $78.95	Facility		$35.09	$40.35	$78.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $38.60 / $59.67	Professional		$28.07	$38.60	$59.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.74 / $34.74 / $35.09	Facility		$34.74	$34.74	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $80.56 / $157.02	Facility		$23.38	$80.56	$157.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $33.65 / $59.53	Professional		$17.76	$33.65	$59.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.39 / $166.68 / $166.68	Facility		$82.39	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $35.09 / $52.64	Facility		$21.40	$35.09	$52.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $43.86	Professional		$33.34	$35.09	$43.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $344.36 / $471.22 / $1,158.96	Facility		$344.36	$471.22	$1,158.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $38.60 / $63.86	Professional		$22.81	$38.60	$63.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $36.84 / $125.88	Facility		$23.84	$36.84	$125.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $42.11 / $59.53	Professional		$18.60	$42.11	$59.53
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $22.46	Professional		$14.74	$14.74	$22.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $18.18 / $35.09	Professional		$14.04	$18.18	$35.09