Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $158.49 / $467.74	Facility		$41.69	$158.49	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $147.91	Professional		$22.91	$41.69	$147.91
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 $40.74 / $112.20 / $204.17	Facility		$40.74	$112.20	$204.17
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 $33.11 / $64.57 / $251.19	Facility		$33.11	$64.57	$251.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $79.43	Professional		$31.62	$50.12	$79.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $63.10 / $63.10	Facility		$35.48	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $190.55	Facility		$38.90	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $77.62	Professional		$19.95	$27.54	$77.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $213.80	Facility		$165.96	$165.96	$213.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $426.58 / $426.58	Professional		$93.33	$426.58	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $58.88 / $295.12	Facility		$27.54	$58.88	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $35.48 / $95.50	Professional		$18.62	$35.48	$95.50
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 Professional Modifier Low / Median / High Price $33.88 / $38.02 / $74.13	Professional		$33.88	$38.02	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $56.23 / $123.03	Facility		$27.54	$56.23	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $72.44	Professional		$19.95	$31.62	$72.44
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