Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $245.47	Facility		$30.20	$46.77	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $173.78	Professional		$33.88	$50.12	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $114.82	Professional		$50.12	$67.61	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $61.66 / $144.54	Facility		$45.71	$61.66	$144.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $63.10	Professional		$40.74	$54.95	$63.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $63.10 / $138.04	Facility		$33.88	$63.10	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $93.33	Professional		$33.88	$44.67	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $61.66	Professional		$52.48	$52.48	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $91.20 / $151.36	Professional		$37.15	$91.20	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $66.07 / $123.03	Facility		$35.48	$66.07	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $128.82	Facility		$30.90	$48.98	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $70.79	Professional		$40.74	$58.88	$70.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10