Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $132.34 / $304.72	Facility		$75.03	$132.34	$304.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $92.18	Professional		$75.03	$75.78	$92.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $75.03	Professional		$75.03	$75.03	$75.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $260.79 / $515.20	Facility		$103.04	$260.79	$515.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $87.84 / $87.84	Professional		$87.84	$87.84	$87.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $85.64 / $99.74 / $2,461.05	Facility		$85.64	$99.74	$2,461.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $95.23 / $147.11	Professional		$75.03	$95.23	$147.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $73.48 / $80.00	Facility		$73.48	$73.48	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $75.02 / $111.00	Facility		$70.78	$75.02	$111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $77.86	Professional		$75.02	$75.02	$77.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $498.40 / $498.40	Facility		$117.52	$498.40	$498.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,766.52 / $3,766.52 / $3,766.52	Professional		$3,766.52	$3,766.52	$3,766.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $76.18 / $133.53	Facility		$59.20	$76.18	$133.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $76.53 / $123.80	Professional		$75.03	$76.53	$123.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $86.28 / $159.90	Professional		$73.48	$86.28	$159.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $75.03 / $131.81	Facility		$60.80	$75.03	$131.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $100.99	Professional		$75.02	$75.02	$100.99
United Facility/Professional Facility Modifier Low / Median / High Price $124.89 / $124.89 / $124.89	Facility		$124.89	$124.89	$124.89
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.53 / $84.03	Professional		$75.03	$79.53	$84.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $77.05 / $105.04	Professional		$75.03	$77.05	$105.04