Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $14,454.40	Facility		$79.43	$147.91	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $128.82	Professional		$79.43	$81.28	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $81.28	Professional		$79.43	$81.28	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $154.88 / $288.40	Facility		$63.10	$154.88	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $125.89 / $6,309.57	Facility		$63.10	$125.89	$6,309.57
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $117.49	Professional		$58.88	$81.28	$117.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $79.43	Facility		$75.86	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $79.43 / $131.83	Facility		$60.26	$79.43	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $102.33	Professional		$79.43	$79.43	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $91.20	Professional		$77.62	$77.62	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $100.00 / $151.36	Professional		$30.20	$100.00	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $131.83	Facility		$58.88	$79.43	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $93.33	Professional		$81.28	$81.28	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $79.43 / $79.43	Facility		$77.62	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $89.13	Professional		$79.43	$85.11	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $100.00	Professional		$77.62	$79.43	$100.00