Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $83.83 / $801.00	Facility		$27.16	$83.83	$801.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $83.83 / $163.31	Professional		$40.15	$83.83	$163.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $131.66 / $236.85	Facility		$55.24	$131.66	$236.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $97.11 / $178.24	Professional		$38.64	$97.11	$178.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $43.93 / $141.41 / $356.09	Facility		$43.93	$141.41	$356.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $58.46 / $96.59	Professional		$45.94	$58.46	$96.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $41.40 / $132.84	Facility		$36.96	$41.40	$132.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $71.19 / $266.00	Facility		$39.76	$71.19	$266.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $119.56 / $202.42	Professional		$46.08	$119.56	$202.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $220.40 / $220.40	Facility		$218.52	$220.40	$220.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $466.03 / $855.04 / $1,051.58	Professional		$466.03	$855.04	$1,051.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.18 / $113.45 / $194.87	Facility		$43.18	$113.45	$194.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $134.15 / $217.68	Professional		$54.44	$134.15	$217.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $122.12 / $219.82	Professional		$41.46	$122.12	$219.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $114.93 / $196.79	Facility		$43.50	$114.93	$196.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $123.12 / $255.91	Professional		$48.34	$123.12	$255.91
United Facility/Professional Facility Modifier Low / Median / High Price $320.44 / $333.15 / $439.48	Facility		$320.44	$333.15	$439.48
United Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $133.32 / $221.48	Professional		$97.77	$133.32	$221.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $121.91 / $165.70	Professional		$104.08	$121.91	$165.70