Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $147.91	Facility		$38.02	$39.81	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $95.50	Professional		$38.90	$45.71	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $54.95	Professional		$38.02	$48.98	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $120.23 / $223.87	Facility		$48.98	$120.23	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $63.10	Professional		$33.11	$41.69	$63.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $120.23 / $407.38	Facility		$42.66	$120.23	$407.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $69.18	Professional		$41.69	$51.29	$69.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Facility		$33.88	$33.88	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $93.33	Professional		$42.66	$56.23	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $354.81	Professional		$275.42	$354.81	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $85.11	Facility		$38.90	$47.86	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $83.18	Professional		$38.90	$45.71	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $112.20	Professional		$48.98	$67.61	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $85.11	Facility		$38.90	$47.86	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $100.00	Professional		$42.66	$58.88	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $77.62	Professional		$36.31	$48.98	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $54.95	Professional		$32.36	$45.71	$54.95