Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $54.95 / $117.49	Facility		$42.66	$54.95	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $87.10 / $144.54	Professional		$42.66	$87.10	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $154.88	Professional		$52.48	$72.44	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $173.78 / $346.74	Facility		$85.11	$173.78	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $93.33	Professional		$44.67	$60.26	$93.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $125.89	Professional		$57.54	$79.43	$125.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $147.91	Professional		$60.26	$93.33	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $165.96	Facility		$54.95	$93.33	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $141.25	Professional		$44.67	$89.13	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $81.28	Professional		$50.12	$67.61	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $194.98	Professional		$54.95	$97.72	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $97.72 / $165.96	Facility		$56.23	$97.72	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $162.18	Professional		$58.88	$95.50	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $79.43 / $114.82	Facility		$60.26	$79.43	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $128.82	Professional		$57.54	$85.11	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $81.28	Professional		$41.69	$72.44	$81.28