Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $75.86 / $190.55	Facility		$22.91	$75.86	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $60.26	Professional		$20.89	$28.18	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $17.38 / $35.48	Professional		$7.08	$17.38	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $117.49 / $208.93	Facility		$46.77	$117.49	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.50 / $47.86	Professional		$5.01	$19.50	$47.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $213.80	Facility		$31.62	$51.29	$213.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $47.86 / $79.43	Professional		$19.95	$47.86	$79.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $177.83	Facility		$38.90	$74.13	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $79.43	Professional		$19.95	$26.92	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $288.40	Professional		$263.03	$263.03	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $165.96	Facility		$25.70	$38.90	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $52.48	Professional		$18.62	$28.18	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $35.48	Professional		$29.51	$29.51	$35.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $158.49 / $177.83	Facility		$77.62	$158.49	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $52.48 / $134.90	Facility		$26.92	$52.48	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $74.13	Professional		$19.95	$31.62	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $35.48	Facility		$12.59	$14.79	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $29.51	Professional		$14.79	$20.42	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $35.48	Professional		$13.80	$29.51	$35.48