Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,995.26 / $6,918.31	Facility		$186.21	$1,995.26	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.88 / $107.15	Professional		$16.98	$33.88	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $45.71	Professional		$16.98	$22.91	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.20 / $57.54	Facility		$12.30	$30.20	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.90 / $61.66	Professional		$21.38	$38.90	$61.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $34.67 / $41.69	Facility		$24.55	$34.67	$41.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $74.13	Professional		$41.69	$45.71	$74.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $46.77	Facility		$17.78	$17.78	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $52.48 / $173.78	Facility		$19.05	$52.48	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.18 / $69.18	Professional		$11.48	$28.18	$69.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $380.19	Professional		$371.54	$371.54	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $54.95 / $3,162.28	Facility		$22.91	$54.95	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $87.10	Professional		$21.88	$41.69	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $43.65	Professional		$20.42	$33.11	$43.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $51.29	Professional		$23.44	$23.44	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $38.90 / $83.18	Facility		$20.42	$38.90	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $29.51 / $66.07	Professional		$12.88	$29.51	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $22.91 / $64.57	Professional		$9.55	$22.91	$64.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71