Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $173.78 / $346.74	Facility		$48.98	$173.78	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $66.07	Professional		$52.48	$54.95	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $257.04	Professional		$39.81	$57.54	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $131.83 / $251.19	Facility		$54.95	$131.83	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $123.03 / $977.24	Facility		$51.29	$123.03	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $173.78 / $426.58	Facility		$53.70	$173.78	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $89.13	Professional		$52.48	$54.95	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,258.93 / $1,348.96	Facility		$363.08	$1,258.93	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $177.83	Facility		$54.95	$66.07	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81