Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $281.83 / $682.51	Facility		$90.57	$281.83	$682.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $121.70 / $205.80	Professional		$92.52	$121.70	$205.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $93.77 / $145.11	Professional		$75.31	$93.77	$145.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.02 / $90.62 / $345.73	Facility		$57.02	$90.62	$345.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $122.35 / $185.19	Professional		$90.04	$122.35	$185.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $99.89 / $255.41 / $349.12	Facility		$99.89	$255.41	$349.12
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $145.11 / $219.62	Professional		$103.07	$145.11	$219.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $232.85 / $232.85	Facility		$89.00	$232.85	$232.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $167.40 / $167.40	Facility		$167.40	$167.40	$167.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $157.51 / $251.11	Professional		$108.58	$157.51	$251.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $485.69	Facility		$55.00	$55.00	$485.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $943.68 / $1,078.13	Professional		$836.00	$943.68	$1,078.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $150.90 / $229.52	Facility		$100.68	$150.90	$229.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.66 / $166.99 / $224.61	Professional		$121.66	$166.99	$224.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $134.77 / $233.29	Professional		$95.42	$134.77	$233.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.20 / $152.19 / $230.02	Facility		$101.20	$152.19	$230.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $167.41 / $258.62	Professional		$109.82	$167.41	$258.62
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 $103.39 / $139.35 / $225.24	Professional		$103.39	$139.35	$225.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $122.01 / $170.34	Professional		$107.39	$122.01	$170.34