Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $98.10 / $268.72	Facility		$51.31	$98.10	$268.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $77.31	Professional		$51.31	$51.31	$77.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $30.79 / $63.79	Professional		$25.66	$30.79	$63.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $51.31 / $245.77	Facility		$30.79	$51.31	$245.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $51.31 / $51.31	Professional		$30.79	$51.31	$51.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $76.97 / $171.29	Facility		$46.18	$76.97	$171.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $51.33 / $88.77	Professional		$35.93	$51.33	$88.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.33 / $51.41	Facility		$51.31	$51.33	$51.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $128.96 / $206.44	Facility		$51.31	$128.96	$206.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $45.34 / $85.89	Professional		$26.76	$45.34	$85.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.10 / $243.72 / $243.72	Facility		$82.10	$243.72	$243.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $255.52 / $384.83	Professional		$255.52	$255.52	$384.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $73.37 / $189.05	Facility		$46.18	$73.37	$189.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $51.31 / $86.25	Professional		$13.05	$51.31	$86.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $643.91 / $1,193.38 / $1,592.31	Facility		$643.91	$1,193.38	$1,592.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $56.44 / $93.38	Professional		$33.35	$56.44	$93.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $53.88 / $128.96	Facility		$51.31	$53.88	$128.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $52.32 / $85.89	Professional		$26.76	$52.32	$85.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $51.31	Professional		$30.79	$30.79	$51.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $20.52 / $51.31	Professional		$20.52	$20.52	$51.31