Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $43.47 / $58.54	Facility		$28.98	$43.47	$58.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $34.78	Professional		$29.29	$29.29	$34.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $34.44 / $34.44	Professional		$34.44	$34.44	$34.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $69.36 / $144.34	Facility		$29.19	$69.36	$144.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $32.31 / $32.31	Professional		$32.31	$32.31	$32.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $29.97 / $8,343.64	Facility		$26.33	$29.97	$8,343.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $31.09 / $44.20	Professional		$29.62	$31.09	$44.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $14,061.53 / $14,061.53 / $14,061.53	Facility		$14,061.53	$14,061.53	$14,061.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $29.29 / $29.29	Facility		$27.63	$29.29	$29.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $144.60 / $146.44	Facility		$75.00	$144.60	$146.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $124.53 / $124.53	Professional		$124.53	$124.53	$124.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $29.29 / $57.56	Facility		$28.70	$29.29	$57.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.88 / $48.33	Professional		$29.29	$29.88	$48.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $32.22 / $62.30	Professional		$28.69	$32.22	$62.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $52.29	Facility		$29.29	$29.29	$52.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $35.29	Professional		$29.29	$29.29	$35.29
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $31.05 / $32.61	Professional		$29.29	$31.05	$32.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $29.29 / $41.01	Professional		$28.21	$29.29	$41.01