Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.72 / $146.74 / $187.16	Professional		$118.72	$146.74	$187.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $337.60 / $379.56	Professional		$107.62	$337.60	$379.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.62 / $277.33 / $467.46	Facility		$116.62	$277.33	$467.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $95.20 / $112.00	Professional		$33.60	$95.20	$112.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $650.00 / $2,000.00	Facility		$176.32	$650.00	$2,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $217.93 / $337.30	Professional		$131.16	$217.93	$337.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $102.95 / $123.35	Professional		$98.10	$102.95	$123.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $782.96 / $2,613.82 / $2,613.82	Facility		$782.96	$2,613.82	$2,613.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.80 / $1,779.80 / $1,779.80	Professional		$1,779.80	$1,779.80	$1,779.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.72 / $216.21 / $369.79	Facility		$118.72	$216.21	$369.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $501.80 / $1,773.90	Professional		$109.20	$501.80	$1,773.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $266.82 / $505.07	Professional		$70.00	$266.82	$505.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.49 / $223.52 / $380.26	Facility		$85.49	$223.52	$380.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $88.36 / $133.79	Professional		$61.25	$88.36	$133.79
United Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $374.61 / $663.81	Professional		$295.20	$374.61	$663.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.79 / $212.47 / $300.70	Professional		$135.79	$212.47	$300.70