Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $314.16 / $734.55	Facility		$142.63	$314.16	$734.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $213.94	Professional		$142.62	$142.63	$213.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $142.63	Professional		$71.31	$71.31	$142.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $142.63 / $641.84	Facility		$85.58	$142.63	$641.84
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 $128.37 / $213.95 / $606.40	Facility		$128.37	$213.95	$606.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $142.63 / $199.68	Professional		$128.37	$142.63	$199.68
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 $253.66 / $710.30 / $1,069.73	Professional		$253.66	$710.30	$1,069.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $154.04 / $375.20	Facility		$142.63	$154.04	$375.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $142.63 / $213.95	Professional		$27.00	$142.63	$213.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $879.00 / $1,418.00	Facility		$665.00	$879.00	$1,418.00
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 / $146.15 / $238.52	Professional		$74.31	$146.15	$238.52
United Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $95.27 / $158.79	Professional		$89.86	$95.27	$158.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $142.63	Professional		$57.05	$57.05	$142.63