Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $145.62 / $264.82	Facility		$37.02	$145.62	$264.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $28.07 / $48.18	Professional		$21.05	$28.07	$48.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $35.09	Professional		$17.55	$17.55	$35.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $104.92 / $196.03	Facility		$38.60	$104.92	$196.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $57.90 / $229.04	Facility		$32.43	$57.90	$229.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $49.13 / $68.66	Professional		$31.58	$49.13	$68.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $34.39 / $35.09	Facility		$34.39	$34.39	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $77.67 / $163.93	Facility		$40.20	$77.67	$163.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $78.59	Professional		$19.88	$26.01	$78.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $167.46 / $167.46	Facility		$80.00	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $288.64 / $288.64	Professional		$263.18	$288.64	$288.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $51.60 / $177.04	Facility		$27.37	$51.60	$177.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $35.09 / $57.60	Professional		$21.60	$35.09	$57.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $397.79 / $544.32 / $1,942.95	Facility		$397.79	$544.32	$1,942.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $78.95	Professional		$22.81	$22.81	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $53.78 / $146.76	Facility		$27.86	$53.78	$146.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.68 / $68.23	Professional		$20.26	$34.68	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $28.68	Professional		$14.74	$20.60	$28.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09