Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.28 / $131.90 / $43,296.24	Facility		$60.28	$131.90	$43,296.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.89 / $17,455.20	Professional		$60.29	$60.89	$17,455.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $60.29 / $84.41	Professional		$58.56	$60.29	$84.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $117.60 / $239.04	Facility		$48.00	$117.60	$239.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $61.06 / $61.06	Professional		$61.06	$61.06	$61.06
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.32 / $57.75 / $18,178.07	Facility		$50.32	$57.75	$18,178.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $66.31 / $87.84	Professional		$57.75	$66.31	$87.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $15,273.44 / $15,273.44 / $15,273.44	Facility		$15,273.44	$15,273.44	$15,273.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $60.29 / $60.29	Facility		$56.88	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Professional		$60.29	$60.29	$60.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $296.75 / $301.45	Facility		$78.95	$296.75	$301.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,460.12 / $2,460.12 / $2,460.12	Professional		$2,460.12	$2,460.12	$2,460.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $60.29 / $105.11	Facility		$58.56	$60.29	$105.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $61.50 / $99.48	Professional		$60.29	$61.50	$99.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,883.23 / $11,547.30 / $45,765.86	Facility		$8,883.23	$11,547.30	$45,765.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $66.31 / $117.70	Professional		$59.27	$66.31	$117.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $107.59	Facility		$60.29	$60.29	$107.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $72.19	Professional		$60.29	$60.29	$72.19
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $63.91 / $67.12	Professional		$60.29	$63.91	$67.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $60.29 / $84.41	Professional		$57.60	$60.29	$84.41