Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $234.42 / $446.68	Facility		$53.70	$234.42	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $177.83	Professional		$45.71	$63.10	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $35.48 / $81.28	Professional		$19.50	$35.48	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $234.42 / $407.38	Facility		$93.33	$234.42	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $38.90 / $95.50	Professional		$5.01	$38.90	$95.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $102.33 / $407.38	Facility		$48.98	$102.33	$407.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $158.49	Professional		$66.07	$97.72	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $70.79	Facility		$69.18	$69.18	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $354.81	Facility		$77.62	$151.36	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $154.88	Professional		$39.81	$53.70	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $575.44	Professional		$524.81	$524.81	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $316.23	Facility		$53.70	$100.00	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $128.82	Professional		$38.90	$63.10	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $70.79	Professional		$58.88	$58.88	$70.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,311.31	Facility		$1,905.46	$2,570.40	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $147.91	Professional		$67.61	$75.86	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $107.15 / $245.47	Facility		$54.95	$107.15	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $147.91	Professional		$39.81	$63.10	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $29.51 / $70.79	Facility		$25.12	$29.51	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $60.26	Professional		$29.51	$40.74	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $70.79	Professional		$58.88	$58.88	$70.79