Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.04 / $264.70 / $749.00	Facility		$105.04	$264.70	$749.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $105.04 / $382.56	Professional		$102.48	$105.04	$382.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $97.33 / $219.70	Professional		$61.20	$97.33	$219.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.13 / $209.64 / $596.25	Facility		$136.13	$209.64	$596.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $136.13 / $136.13	Professional		$136.13	$136.13	$136.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $891.69 / $973.44	Facility		$107.63	$891.69	$973.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $112.14 / $123.00	Professional		$107.63	$112.14	$123.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $115.20	Facility		$115.20	$115.20	$115.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Facility		$109.99	$109.99	$109.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $231.98 / $662.25 / $662.25	Facility		$231.98	$662.25	$662.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $739.96 / $1,021.13	Professional		$739.96	$739.96	$1,021.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.04 / $161.60 / $659.30	Facility		$105.04	$161.60	$659.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $122.27 / $450.00	Professional		$108.89	$122.27	$450.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $484.83 / $680.30 / $1,904.06	Facility		$484.83	$680.30	$1,904.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $202.90 / $214.11	Professional		$135.72	$202.90	$214.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.89 / $109.99 / $222.26	Facility		$108.89	$109.99	$222.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $450.58	Professional		$450.58	$450.58	$450.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $188.00 / $253.80	Professional		$75.00	$188.00	$253.80