Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $416.87 / $851.14	Facility		$83.18	$416.87	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $478.63	Professional		$81.28	$85.11	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $181.97	Professional		$39.81	$81.28	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $239.88 / $457.09	Facility		$97.72	$239.88	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $524.81 / $1,174.90	Facility		$102.33	$524.81	$1,174.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $173.78	Professional		$91.20	$107.15	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $295.12 / $776.25	Facility		$83.18	$295.12	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $524.81	Professional		$81.28	$93.33	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $83.18	Professional		$30.20	$50.12	$83.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,089.30 / $2,238.72	Facility		$478.63	$2,089.30	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $269.15	Facility		$83.18	$102.33	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53