Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $122.40 / $306.00	Facility		$51.31	$122.40	$306.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $56.44	Professional		$51.31	$51.31	$56.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $17.96 / $17.96	Professional		$17.96	$17.96	$17.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $51.31 / $227.30	Facility		$30.79	$51.31	$227.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $51.31 / $51.31	Professional		$30.79	$51.31	$51.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $51.31 / $84.66	Facility		$35.92	$51.31	$84.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $69.78 / $77.00	Professional		$48.76	$69.78	$77.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Facility		$51.31	$51.31	$51.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.42 / $36.64 / $128.96	Facility		$32.42	$36.64	$128.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.72 / $67.95	Professional		$51.31	$56.72	$67.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.10 / $243.72 / $243.72	Facility		$82.10	$243.72	$243.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $255.52 / $384.83	Professional		$255.52	$255.52	$384.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $61.57 / $147.77	Facility		$51.31	$61.57	$147.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $51.31 / $64.14	Professional		$22.55	$51.31	$64.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $369.89 / $570.71 / $1,528.00	Facility		$369.89	$570.71	$1,528.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $62.09 / $107.24	Professional		$48.74	$62.09	$107.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $51.31 / $117.98	Facility		$43.61	$51.31	$117.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $61.57 / $71.83	Professional		$51.31	$61.57	$71.83
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $21.55 / $51.31	Professional		$21.55	$21.55	$51.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $20.52 / $51.31	Professional		$20.52	$20.52	$51.31