Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $131.01 / $277.33	Facility		$35.09	$131.01	$277.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $26.31 / $48.18	Professional		$21.05	$26.31	$48.18
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 $43.33 / $112.66 / $211.24	Facility		$43.33	$112.66	$211.24
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 $32.43 / $56.14 / $237.68	Facility		$32.43	$56.14	$237.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $49.13 / $85.44	Professional		$28.07	$49.13	$85.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $35.09	Facility		$33.15	$33.15	$35.09
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 / $227.00	Facility		$88.87	$167.46	$227.00
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 $28.80 / $52.64 / $100.54	Facility		$28.80	$52.64	$100.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $52.64	Professional		$33.34	$35.09	$52.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $952.01 / $2,207.00	Facility		$639.00	$952.01	$2,207.00
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 $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 / $20.60 / $29.03	Professional		$14.74	$20.60	$29.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09