Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $167.38 / $329.74	Facility		$52.56	$167.38	$329.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $54.43 / $63.06	Professional		$53.10	$54.43	$63.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $260.00	Professional		$39.83	$39.83	$260.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $138.85 / $275.50	Facility		$55.10	$138.85	$275.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $55.76 / $55.76	Professional		$55.76	$55.76	$55.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $56.98 / $56.98 / $973.44	Facility		$56.98	$56.98	$973.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $73.73 / $73.73	Facility		$73.73	$73.73	$73.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $132.76 / $248.93	Facility		$92.20	$132.76	$248.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $252.24 / $252.24 / $298.70	Professional		$252.24	$252.24	$298.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $77.83 / $393.21	Facility		$55.10	$77.83	$393.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $50.74 / $425.27	Professional		$9.44	$50.74	$425.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $320.85 / $367.21 / $425.75	Facility		$320.85	$367.21	$425.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $95.01 / $99.76	Professional		$63.58	$95.01	$99.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $66.38 / $101.70	Facility		$56.42	$66.38	$101.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $57.23	Professional		$56.50	$56.50	$57.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $54.00 / $56.50	Professional		$40.00	$54.00	$56.50