Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $194.81 / $749.39	Facility		$37.18	$194.81	$749.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.27 / $70.69	Professional		$25.70	$34.27	$70.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.70 / $42.84	Professional		$21.42	$25.70	$42.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.98 / $135.37 / $251.18	Facility		$50.98	$135.37	$251.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $23.56 / $59.98	Professional		$5.00	$23.56	$59.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $64.26 / $262.07	Facility		$42.84	$64.26	$262.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $44.03 / $83.79	Professional		$29.99	$44.03	$83.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $98.44 / $226.32	Facility		$49.07	$98.44	$226.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $31.86 / $94.36	Professional		$24.30	$31.86	$94.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.94 / $204.03 / $227.00	Facility		$91.94	$204.03	$227.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $327.14 / $352.23 / $352.23	Professional		$327.14	$352.23	$352.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $64.26 / $113.72	Facility		$35.15	$64.26	$113.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $42.84 / $64.26	Professional		$39.60	$42.84	$64.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $137.16 / $187.73 / $1,647.45	Facility		$137.16	$187.73	$1,647.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $51.84 / $96.39	Professional		$27.85	$51.84	$96.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $68.83 / $156.52	Facility		$35.15	$68.83	$156.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $42.40 / $83.30	Professional		$24.82	$42.40	$83.30
United Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $42.84 / $53.55	Facility		$32.32	$42.84	$53.55
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.54 / $36.40	Professional		$17.98	$24.54	$36.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $42.84	Professional		$21.15	$21.15	$42.84