Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $63.10 / $181.97	Facility		$23.44	$63.10	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $93.33	Professional		$19.95	$26.92	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.60	Professional		$16.22	$16.22	$16.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $107.15 / $177.83	Facility		$40.74	$107.15	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $18.62 / $45.71	Professional		$5.01	$18.62	$45.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $46.77	Professional		$23.44	$45.71	$46.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $79.43	Facility		$33.11	$33.11	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $63.10 / $147.91	Facility		$28.84	$63.10	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $61.66	Professional		$16.22	$23.44	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $229.09	Facility		$186.21	$186.21	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $39.81 / $114.82	Facility		$25.70	$39.81	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $42.66	Professional		$19.95	$28.84	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $33.88	Professional		$28.18	$28.18	$33.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $70.79	Professional		$32.36	$36.31	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $43.65 / $120.23	Facility		$25.70	$43.65	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.12 / $57.54	Professional		$16.22	$25.12	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $33.11	Facility		$12.02	$14.13	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $63.10	Professional		$19.95	$20.89	$63.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.18 / $33.11	Professional		$13.18	$28.18	$33.11