Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $166.31 / $482.51	Facility		$42.67	$166.31	$482.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $41.97 / $136.85	Professional		$21.05	$41.97	$136.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $21.05	Professional		$17.55	$17.55	$21.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $110.49 / $205.38	Facility		$41.76	$110.49	$205.38
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 $35.09 / $56.14 / $229.04	Facility		$35.09	$56.14	$229.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $49.13 / $85.44	Professional		$31.58	$49.13	$85.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $63.16 / $63.16	Facility		$35.09	$63.16	$63.16
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 $19.88 / $26.01 / $77.45	Professional		$19.88	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $167.46 / $212.00	Facility		$88.87	$167.46	$212.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $426.00 / $426.00	Professional		$426.00	$426.00	$426.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $56.36 / $127.36	Facility		$29.47	$56.36	$127.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $58.85	Professional		$33.34	$35.09	$58.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $42.46 / $78.95	Professional		$22.81	$42.46	$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 $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $26.48 / $35.09	Facility		$26.48	$26.48	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $29.03	Professional		$14.74	$20.60	$29.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09