Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $104.04 / $272.10	Facility		$26.67	$104.04	$272.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $26.32 / $49.71	Professional		$19.64	$26.32	$49.71
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 $43.33 / $112.66 / $211.24	Facility		$43.33	$112.66	$211.24
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 / $52.64 / $207.70	Facility		$32.43	$52.64	$207.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $50.49 / $78.95	Professional		$33.34	$50.49	$78.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.74 / $34.74 / $35.09	Facility		$34.74	$34.74	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $80.56 / $186.82	Facility		$40.20	$80.56	$186.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $35.86 / $73.65	Professional		$22.03	$35.86	$73.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $167.46 / $167.46	Facility		$73.45	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $289.44 / $289.44	Professional		$62.12	$289.44	$289.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $56.49 / $123.48	Facility		$29.83	$56.49	$123.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $35.09 / $65.59	Professional		$33.01	$35.09	$65.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $42.11 / $78.95	Professional		$22.81	$42.11	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $56.40 / $127.08	Facility		$28.80	$56.40	$127.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $40.15 / $68.23	Professional		$23.23	$40.15	$68.23
United Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $35.09 / $57.77	Facility		$21.11	$35.09	$57.77
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $28.68 / $37.90	Professional		$21.05	$28.68	$37.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09