Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.51 / $410.27 / $763.86	Facility		$25.51	$410.27	$763.86
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $3.80 / $6.67 / $16.86	Facility	52	$3.80	$6.67	$16.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $31.47 / $119.97	Professional		$9.58	$31.47	$119.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $4.71 / $12.53 / $22.90	Professional	52	$4.71	$12.53	$22.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.04 / $42.85	Professional		$9.44	$14.04	$42.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $28.42 / $52.31	Facility		$12.25	$28.42	$52.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $27.21 / $55.98	Professional		$10.27	$27.21	$55.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $811.20	Facility		$11.78	$11.78	$811.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $20.81 / $50.27	Professional		$12.23	$20.81	$50.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $11.10 / $33.63	Facility		$9.92	$11.10	$33.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $38.13 / $67.56	Professional		$13.04	$38.13	$67.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $57.05 / $57.05	Facility		$52.98	$57.05	$57.05
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $42.38 / $45.64 / $45.64	Facility	52	$42.38	$45.64	$45.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $95.48 / $304.80	Professional		$74.08	$95.48	$304.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $25.55 / $65.00	Facility		$10.17	$25.55	$65.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $45.28 / $101.25	Professional		$14.72	$45.28	$101.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $422.04 / $569.10 / $1,433.92	Facility		$422.04	$569.10	$1,433.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $23.04 / $49.32	Professional		$7.23	$23.04	$49.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $25.55 / $65.00	Facility		$10.05	$25.55	$65.00
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $38.13 / $73.45	Professional		$13.10	$38.13	$73.45
United Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $42.82 / $71.19	Professional		$31.92	$42.82	$71.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $33.74 / $47.86	Professional		$30.09	$33.74	$47.86