Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $371.54 / $630.96	Facility		$79.43	$371.54	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $281.84	Professional		$69.18	$95.50	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $223.87 / $354.81	Facility		$95.50	$223.87	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $77.62 / $102.33	Professional		$24.55	$77.62	$102.33
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $436.52	Facility		$93.33	$158.49	$436.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $123.03	Professional		$91.20	$100.00	$123.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $93.33	Facility		$89.13	$89.13	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $275.42 / $436.52	Facility		$81.28	$275.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $204.17	Professional		$81.28	$109.65	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $831.76	Professional		$645.65	$831.76	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $223.87	Facility		$83.18	$123.03	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $288.40	Professional		$79.43	$120.23	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $275.42	Professional		$107.15	$218.78	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $229.09	Facility		$85.11	$125.89	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $218.78	Professional		$81.28	$107.15	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $181.97	Facility		$70.79	$138.04	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $169.82	Professional		$85.11	$109.65	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $117.49	Professional		$93.33	$97.72	$117.49