Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $245.85 / $635.04	Facility		$97.76	$245.85	$635.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $97.76 / $166.85	Professional		$78.20	$97.76	$166.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $78.20 / $130.35	Professional		$65.18	$78.20	$130.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $421.61 / $786.59	Facility		$160.91	$421.61	$786.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $71.69 / $182.49	Professional		$5.00	$71.69	$182.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $202.04 / $771.38	Facility		$130.35	$202.04	$771.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $117.32 / $182.49	Professional		$91.25	$117.32	$182.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.40 / $128.40 / $130.35	Facility		$128.40	$128.40	$130.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.30 / $288.37 / $609.19	Facility		$149.30	$288.37	$609.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $96.98 / $276.00	Professional		$73.81	$96.98	$276.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $332.86 / $622.71 / $622.71	Facility		$332.86	$622.71	$622.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.63 / $1,071.80 / $1,071.80	Professional		$977.63	$1,071.80	$1,071.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.07 / $160.15 / $324.83	Facility		$99.07	$160.15	$324.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $130.35 / $180.79	Professional		$130.35	$130.35	$180.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $157.72 / $293.29	Professional		$126.83	$157.72	$293.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.51 / $208.56 / $551.92	Facility		$103.51	$208.56	$551.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $129.16 / $253.45	Professional		$75.47	$129.16	$253.45
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $74.58 / $106.54	Professional		$54.75	$74.58	$106.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $67.52 / $130.35	Professional		$64.37	$67.52	$130.35