Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $101.69 / $600.66	Facility		$61.46	$101.69	$600.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $87.15 / $151.94	Professional		$61.09	$87.15	$151.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $115.08 / $125.16	Professional		$62.18	$115.08	$125.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $91.06 / $366.65	Facility		$53.92	$91.06	$366.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $85.63 / $123.72	Professional		$60.38	$85.63	$123.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $126.72 / $163.63	Professional		$98.18	$126.72	$163.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.73 / $131.11 / $131.11	Facility		$61.73	$131.11	$131.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $114.76 / $114.76	Facility		$114.76	$114.76	$114.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $107.39 / $173.99	Professional		$73.05	$107.39	$173.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $347.04	Facility		$55.00	$55.00	$347.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $493.36 / $717.60 / $849.15	Professional		$493.36	$717.60	$849.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $98.08 / $148.51	Facility		$66.48	$98.08	$148.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $124.55 / $175.25	Professional		$87.05	$124.55	$175.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $116.71 / $231.09	Professional		$69.56	$116.71	$231.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $98.18 / $152.04	Facility		$66.48	$98.18	$152.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $111.65 / $184.25	Professional		$74.44	$111.65	$184.25
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $98.64 / $158.15	Professional		$73.98	$98.64	$158.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $93.50 / $131.60	Professional		$83.09	$93.50	$131.60