Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.83 / $322.43 / $608.55	Facility		$107.83	$322.43	$608.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $99.84 / $194.03	Professional		$75.59	$99.84	$194.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $71.31 / $142.63	Professional		$49.92	$71.31	$142.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.38 / $432.39 / $747.38	Facility		$158.38	$432.39	$747.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $78.45 / $199.68	Professional		$5.00	$78.45	$199.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $221.08 / $719.00	Facility		$128.37	$221.08	$719.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $171.16 / $246.75	Professional		$114.10	$171.16	$246.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $141.19 / $142.63	Facility		$141.19	$141.19	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.94 / $327.64 / $647.83	Facility		$115.94	$327.64	$647.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $99.84 / $264.94	Professional		$73.36	$99.84	$264.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $228.21 / $677.49 / $677.49	Facility		$228.21	$677.49	$677.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $713.15 / $713.15 / $1,069.73	Professional		$713.15	$713.15	$1,069.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $152.97 / $318.60	Facility		$99.84	$152.97	$318.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $142.63 / $213.95	Professional		$105.80	$142.63	$213.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $178.29 / $320.92	Professional		$92.71	$178.29	$320.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.95 / $177.44 / $603.54	Facility		$102.95	$177.44	$603.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $142.63 / $256.00	Professional		$75.59	$142.63	$256.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $74.06 / $105.80	Professional		$59.90	$74.06	$105.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $73.88 / $142.63	Professional		$63.35	$73.88	$142.63