Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $66.27 / $173.25	Facility		$25.10	$66.27	$173.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $25.44 / $50.20	Professional		$18.73	$25.44	$50.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $16.73 / $20.07	Professional		$16.73	$16.73	$20.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $82.67 / $173.04	Facility		$41.50	$82.67	$173.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $18.41 / $46.86	Professional		$5.00	$18.41	$46.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $50.21 / $153.91	Facility		$33.47	$50.21	$153.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $61.10 / $75.31	Professional		$46.86	$61.10	$75.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $80.00	Facility		$33.47	$33.47	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $73.11 / $149.47	Facility		$29.26	$73.11	$149.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $21.20 / $56.81	Professional		$16.17	$21.20	$56.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $184.63 / $230.00	Facility		$82.00	$184.63	$230.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $397.00 / $397.00	Professional		$397.00	$397.00	$397.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $40.40 / $76.00	Facility		$27.48	$40.40	$76.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $33.47 / $41.84	Professional		$31.80	$33.47	$41.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,233.05 / $1,595.32 / $5,008.09	Facility		$1,233.05	$1,595.32	$5,008.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $40.15 / $75.31	Professional		$21.76	$40.15	$75.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $44.98 / $122.29	Facility		$27.11	$44.98	$122.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $31.87 / $56.81	Professional		$16.17	$31.87	$56.81
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $21.33 / $65.93	Professional		$20.07	$21.33	$65.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $17.34 / $33.47	Professional		$14.22	$17.34	$33.47