Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $90.47 / $208.90	Facility		$30.66	$90.47	$208.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $30.82 / $50.12	Professional		$24.33	$30.82	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $22.30	Professional		$22.30	$22.30	$22.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $126.09 / $213.70	Facility		$47.76	$126.09	$213.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $22.30 / $56.77	Professional		$5.00	$22.30	$56.77
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $60.83 / $207.70	Facility		$40.54	$60.83	$207.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $48.66 / $70.15	Professional		$32.44	$48.66	$70.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $93.18 / $181.17	Facility		$35.70	$93.18	$181.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $26.13 / $73.09	Professional		$20.61	$26.13	$73.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.35 / $192.61 / $192.61	Facility		$99.35	$192.61	$192.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $202.75 / $304.13	Professional		$202.75	$202.75	$304.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $40.54 / $64.88	Facility		$25.55	$40.54	$64.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $84.00	Professional		$40.54	$40.54	$84.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $265.14 / $362.86 / $1,099.43	Facility		$265.14	$362.86	$1,099.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $48.66 / $91.24	Professional		$26.36	$48.66	$91.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $48.53 / $177.18	Facility		$28.39	$48.53	$177.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $36.78 / $69.00	Professional		$20.80	$36.78	$69.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $20.05 / $28.66	Professional		$17.03	$20.05	$28.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $21.00 / $40.54	Professional		$17.32	$21.00	$40.54