Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $436.52 / $1,023.29	Facility		$87.10	$436.52	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $239.88	Professional		$66.07	$100.00	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $128.82	Professional		$61.66	$97.72	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $87.10 / $371.54	Facility		$60.26	$87.10	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $138.04	Professional		$63.10	$91.20	$138.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $147.91	Professional		$52.48	$74.13	$147.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $245.47 / $245.47	Facility		$63.10	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $186.21	Professional		$74.13	$109.65	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $851.14	Professional		$724.44	$851.14	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $199.53	Facility		$69.18	$107.15	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $190.55	Professional		$66.07	$102.33	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $85.11	Professional		$32.36	$56.23	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $407.38	Professional		$181.97	$239.88	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $181.97	Facility		$69.18	$104.71	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $186.21	Professional		$72.44	$109.65	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $134.90	Professional		$60.26	$85.11	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $109.65	Professional		$104.71	$109.65	$109.65