Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $166.32 / $748.65	Facility		$69.31	$166.32	$748.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $85.11 / $176.41	Professional		$69.31	$85.11	$176.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $163.99 / $163.99	Professional		$163.99	$163.99	$163.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.32 / $178.77 / $339.99	Facility		$91.32	$178.77	$339.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $70.95 / $101.26	Professional		$24.44	$70.95	$101.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $89.20 / $162.88 / $385.64	Facility		$89.20	$162.88	$385.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $102.60 / $124.00	Professional		$91.87	$102.60	$124.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.30 / $91.59 / $93.65	Facility		$89.30	$91.59	$93.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.42 / $273.45 / $423.27	Facility		$84.42	$273.45	$423.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $106.04 / $197.03	Professional		$80.70	$106.04	$197.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.58 / $514.16 / $539.87	Facility		$211.58	$514.16	$539.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $652.77 / $652.77 / $829.73	Professional		$652.77	$652.77	$829.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $117.11 / $187.76	Facility		$82.54	$117.11	$187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.05 / $144.11 / $237.90	Professional		$79.05	$144.11	$237.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $129.53 / $241.40	Professional		$48.98	$129.53	$241.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.38 / $119.43 / $241.58	Facility		$82.38	$119.43	$241.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $111.23 / $228.00	Professional		$82.04	$111.23	$228.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $108.81 / $166.96	Professional		$85.75	$108.81	$166.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $91.87 / $130.47	Professional		$81.99	$91.87	$130.47