Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $285.26 / $753.90	Facility		$126.56	$285.26	$753.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $182.57	Professional		$142.62	$142.63	$182.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $85.58	Professional		$71.31	$71.31	$85.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $142.63 / $631.85	Facility		$85.58	$142.63	$631.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $142.63 / $142.63	Professional		$85.58	$142.63	$142.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $110.80 / $178.29 / $400.50	Facility		$110.80	$178.29	$400.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $135.50 / $213.95	Professional		$23.00	$135.50	$213.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $149.76 / $149.76	Facility		$142.63	$149.76	$149.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.12 / $101.85 / $357.69	Facility		$90.12	$101.85	$357.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $125.93 / $238.52	Professional		$74.31	$125.93	$238.52
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 $710.30 / $710.30 / $1,069.73	Professional		$710.30	$710.30	$1,069.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $149.78 / $374.85	Facility		$142.63	$149.78	$374.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $142.63 / $213.95	Professional		$26.00	$142.63	$213.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.00 / $2,715.36 / $4,250.99	Facility		$1,567.00	$2,715.36	$4,250.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $171.16 / $259.58	Professional		$92.71	$171.16	$259.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $142.63 / $327.64	Facility		$121.24	$142.63	$327.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $145.29 / $238.52	Professional		$74.31	$145.29	$238.52
United Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $66.69 / $142.63	Professional		$62.90	$66.69	$142.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $142.63	Professional		$57.05	$57.05	$142.63