Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $138.04 / $144.54	Facility		$72.44	$138.04	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $691.83	Professional		$141.25	$186.21	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $346.74	Professional		$158.49	$239.88	$346.74
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 $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $446.68	Professional		$186.21	$257.04	$446.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $213.80	Professional		$154.88	$154.88	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $2,041.74 / $2,454.71	Professional		$295.12	$2,041.74	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $436.52	Facility		$141.25	$208.93	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $398.11	Professional		$138.04	$181.97	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $165.96	Professional		$162.18	$162.18	$165.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $2,951.21	Facility		$1,698.24	$2,454.71	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,174.90	Professional		$316.23	$446.68	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $288.40 / $501.19	Facility		$144.54	$288.40	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $213.80	Professional		$154.88	$154.88	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $363.08	Facility		$109.65	$154.88	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $245.47	Professional		$128.82	$194.98	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23