Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $38.19 / $350.38	Facility		$29.33	$38.19	$350.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $46.92 / $67.62	Professional		$36.17	$46.92	$67.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $47.49 / $49.36	Professional		$38.64	$47.49	$49.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.85 / $127.01 / $240.70	Facility		$51.85	$127.01	$240.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $40.15 / $68.20	Professional		$31.59	$40.15	$68.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $108.10 / $179.80	Facility		$37.86	$108.10	$179.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $55.23 / $111.48	Professional		$38.93	$55.23	$111.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $37.63 / $51.83	Facility		$33.67	$37.63	$51.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.93 / $105.93 / $277.75	Facility		$43.93	$105.93	$277.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $63.23 / $104.66	Professional		$44.33	$63.23	$104.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $192.57 / $192.57	Facility		$181.68	$192.57	$192.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.25 / $312.52 / $432.68	Professional		$245.25	$312.52	$432.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $52.30 / $88.03	Facility		$38.21	$52.30	$88.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $64.75 / $89.66	Professional		$48.53	$64.75	$89.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $54.65 / $93.86	Professional		$37.33	$54.65	$93.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $52.27 / $97.96	Facility		$38.36	$52.27	$97.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $65.77 / $107.79	Professional		$45.53	$65.77	$107.79
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,376.00	Facility		$157.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $58.41 / $91.45	Professional		$43.85	$58.41	$91.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $48.36 / $67.11	Professional		$42.51	$48.36	$67.11