Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.51 / $117.60 / $191.24	Facility		$27.51	$117.60	$191.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $26.67 / $40.68	Professional		$21.05	$26.67	$40.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $40.35	Professional		$17.55	$17.55	$40.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $110.49 / $202.47	Facility		$40.00	$110.49	$202.47
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 $31.58 / $52.64 / $207.70	Facility		$31.58	$52.64	$207.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $38.60 / $60.71	Professional		$7.00	$38.60	$60.71
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 $31.72 / $81.59 / $177.18	Facility		$31.72	$81.59	$177.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $25.76 / $73.09	Professional		$19.88	$25.76	$73.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.30 / $166.68 / $166.68	Facility		$75.30	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $178.45 / $263.18	Professional		$62.12	$178.45	$263.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $37.64 / $126.63	Facility		$24.56	$37.64	$126.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $84.00	Professional		$33.34	$35.09	$84.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $296.57 / $405.83 / $896.48	Facility		$296.57	$405.83	$896.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $38.60 / $63.86	Professional		$22.81	$38.60	$63.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $43.16 / $162.76	Facility		$26.32	$43.16	$162.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $33.47 / $68.23	Professional		$20.26	$33.47	$68.23
United Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $35.09 / $42.11	Facility		$20.11	$35.09	$42.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.11 / $28.68	Professional		$14.74	$20.11	$28.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $21.67 / $35.09	Professional		$17.32	$21.67	$35.09