Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $223.58 / $394.00	Facility		$53.35	$223.58	$394.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $62.56 / $96.40	Professional		$42.12	$62.56	$96.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $35.10 / $80.73	Professional		$35.10	$35.10	$80.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $223.94 / $389.97	Facility		$86.66	$223.94	$389.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $38.61 / $98.28	Professional		$5.00	$38.61	$98.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $108.81 / $394.00	Facility		$49.14	$108.81	$394.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $70.20 / $157.94	Professional		$56.16	$70.20	$157.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $68.80 / $70.20	Facility		$68.80	$68.80	$70.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.40 / $155.36 / $327.83	Facility		$80.40	$155.36	$327.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $51.27 / $154.91	Professional		$39.76	$51.27	$154.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $150.66 / $334.95 / $334.95	Facility		$150.66	$334.95	$334.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $526.50 / $577.21 / $577.21	Professional		$526.50	$577.21	$577.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $104.58 / $178.25	Facility		$57.62	$104.58	$178.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $70.20 / $97.37	Professional		$70.20	$70.20	$97.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.33 / $1,878.42 / $2,818.50	Facility		$1,338.33	$1,878.42	$2,818.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $84.94 / $157.94	Professional		$45.63	$84.94	$157.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $109.19 / $256.44	Facility		$56.86	$109.19	$256.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $69.61 / $136.47	Professional		$39.76	$69.61	$136.47
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $41.19 / $58.84	Professional		$29.48	$41.19	$58.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $36.36 / $70.20	Professional		$34.65	$36.36	$70.20