Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $123.36 / $313.88	Facility		$78.37	$123.36	$313.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $79.15 / $98.74	Professional		$78.37	$79.15	$98.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $78.47 / $109.86	Professional		$77.52	$78.47	$109.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $160.21 / $316.50	Facility		$63.30	$160.21	$316.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $80.64 / $80.64	Professional		$80.64	$80.64	$80.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $63.65 / $80.30 / $4,441.70	Facility		$63.65	$80.30	$4,441.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $83.32 / $118.45	Professional		$78.37	$83.32	$118.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,079.40 / $1,079.40 / $1,079.40	Facility		$1,079.40	$1,079.40	$1,079.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $78.37 / $78.37	Facility		$73.93	$78.37	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $78.37	Professional		$78.37	$78.37	$78.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.11 / $387.60 / $391.85	Facility		$103.11	$387.60	$391.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.66 / $933.66 / $933.66	Professional		$933.66	$933.66	$933.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $78.47 / $117.56	Facility		$50.46	$78.47	$117.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $79.94 / $129.31	Professional		$72.90	$79.94	$129.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $88.38 / $152.10	Professional		$78.37	$88.38	$152.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.48 / $78.37 / $123.36	Facility		$50.48	$78.37	$123.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $96.38	Professional		$78.37	$78.37	$96.38
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $83.07 / $87.24	Professional		$78.37	$83.07	$87.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $78.37 / $109.72	Professional		$77.09	$78.37	$109.72