Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $139.31 / $144.77	Facility		$72.09	$139.31	$144.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $152.96 / $290.20	Professional		$139.31	$152.96	$290.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $221.48 / $311.94	Professional		$155.97	$221.48	$311.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.46 / $148.46 / $185.74	Professional		$148.46	$148.46	$185.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $233.96 / $265.14 / $311.94	Facility		$233.96	$265.14	$311.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $257.39 / $436.72	Professional		$202.76	$257.39	$436.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $273.14 / $311.94	Facility		$273.14	$273.14	$311.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $214.16	Professional		$156.34	$156.34	$214.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $633.24 / $1,620.96 / $1,728.76	Facility		$633.24	$1,620.96	$1,728.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.80 / $2,058.80 / $2,427.15	Professional		$2,058.80	$2,058.80	$2,427.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.31 / $244.15 / $331.43	Facility		$139.31	$244.15	$331.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $288.57 / $462.01	Professional		$247.50	$288.57	$462.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,302.00 / $2,688.17 / $4,605.20	Facility		$1,302.00	$2,688.17	$4,605.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $327.54 / $545.89	Professional		$296.33	$327.54	$545.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.31 / $214.16 / $331.43	Facility		$139.31	$214.16	$331.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $188.46 / $305.62	Professional		$156.34	$188.46	$305.62
United Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $154.24 / $183.11	Facility		$122.08	$154.24	$183.11
United Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $195.32 / $244.15	Professional		$129.69	$195.32	$244.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.33 / $216.09 / $311.94	Professional		$188.33	$216.09	$311.94