Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.37 / $106.04 / $250.12	Facility		$46.37	$106.04	$250.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $60.57 / $234.73	Professional		$49.76	$60.57	$234.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $49.96 / $49.96	Professional		$49.96	$49.96	$49.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $175.78 / $319.42	Facility		$74.77	$175.78	$319.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $57.41 / $96.53	Professional		$48.99	$57.41	$96.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $129.61 / $129.61 / $197.66	Facility		$129.61	$129.61	$197.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $87.12 / $87.12	Professional		$54.45	$87.12	$87.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $115.38 / $115.38	Facility		$53.53	$115.38	$115.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $67.34 / $114.51	Professional		$54.45	$67.34	$114.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.68 / $274.45 / $274.45	Facility		$133.68	$274.45	$274.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $384.82 / $384.82 / $468.53	Professional		$384.82	$384.82	$468.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $63.94 / $131.62	Facility		$50.91	$63.94	$131.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $88.50 / $107.85	Professional		$55.31	$88.50	$107.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $63.61 / $108.10	Professional		$53.26	$63.61	$108.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $64.03 / $138.79	Facility		$51.71	$64.03	$138.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $69.90 / $127.33	Professional		$53.42	$69.90	$127.33
United Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $68.86 / $104.32	Professional		$49.61	$68.86	$104.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $55.32 / $76.23	Professional		$47.21	$55.32	$76.23