Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $143.12 / $481.10	Facility		$33.19	$143.12	$481.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $32.75 / $62.08	Professional		$26.19	$32.75	$62.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.20 / $72.06	Professional		$26.20	$26.20	$72.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.67 / $139.31 / $261.58	Facility		$53.67	$139.31	$261.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $24.02 / $61.14	Professional		$5.00	$24.02	$61.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $43.67 / $86.49	Facility		$34.71	$43.67	$86.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $39.29 / $84.05	Professional		$30.57	$39.29	$84.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $45.85 / $45.85	Facility		$43.67	$45.85	$45.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $93.28 / $194.78	Facility		$45.96	$93.28	$194.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $29.84 / $88.36	Professional		$22.64	$29.84	$88.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $207.43 / $207.43	Facility		$86.09	$207.43	$207.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $327.52 / $329.81 / $329.81	Professional		$327.52	$329.81	$329.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $56.77 / $100.54	Facility		$34.97	$56.77	$100.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $65.51	Professional		$43.67	$43.67	$65.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $52.84 / $98.26	Professional		$28.39	$52.84	$98.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $64.27 / $169.19	Facility		$35.36	$64.27	$169.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $41.53 / $81.66	Professional		$23.30	$41.53	$81.66
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $23.53 / $34.47	Professional		$18.34	$23.53	$34.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $22.62 / $43.67	Professional		$19.80	$22.62	$43.67