Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $78.95 / $218.05	Facility		$21.05	$78.95	$218.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $25.14 / $46.67	Professional		$19.64	$25.14	$46.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $23.88	Professional		$17.55	$17.55	$23.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $112.99 / $211.75	Facility		$43.33	$112.99	$211.75
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 / $50.88 / $197.01	Facility		$32.43	$50.88	$197.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $47.72 / $68.66	Professional		$31.58	$47.72	$68.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$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 $26.67 / $43.16 / $89.13	Facility		$26.67	$43.16	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $63.51	Professional		$33.34	$35.09	$63.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $99.12 / $337.60	Facility		$56.85	$99.12	$337.60
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 $27.86 / $53.78 / $146.76	Facility		$27.86	$53.78	$146.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.22 / $26.00	Professional		$14.74	$20.22	$26.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09