Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $152.99 / $388.87	Facility		$51.42	$152.99	$388.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $31.35 / $63.18	Professional		$21.05	$31.35	$63.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $45.62	Professional		$17.55	$17.55	$45.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $104.57 / $185.63	Facility		$38.60	$104.57	$185.63
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 $31.58 / $50.88 / $215.25	Facility		$31.58	$50.88	$215.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $48.50 / $85.44	Professional		$24.56	$48.50	$85.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $36.85 / $36.85	Facility		$35.09	$36.85	$36.85
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 / $167.46	Facility		$88.87	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $313.33 / $313.33	Professional		$61.07	$313.33	$313.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $64.62 / $271.00	Facility		$31.26	$64.62	$271.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $43.86 / $87.13	Professional		$12.60	$43.86	$87.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $145.99 / $199.78 / $529.26	Facility		$145.99	$199.78	$529.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $42.11 / $78.95	Professional		$22.81	$42.11	$78.95
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 / $71.93	Professional		$20.26	$34.74	$71.93
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.11 / $29.42	Professional		$14.74	$20.11	$29.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09