Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.89 / $258.22 / $1,165.80	Facility		$123.89	$258.22	$1,165.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $164.54 / $418.85	Professional		$112.56	$164.54	$418.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $177.53 / $279.20	Professional		$137.19	$177.53	$279.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.50 / $460.11 / $826.90	Facility		$189.50	$460.11	$826.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $198.30 / $290.76	Professional		$136.94	$198.30	$290.76
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $166.86 / $205.28 / $259.83	Professional		$166.86	$205.28	$259.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $148.09 / $148.09 / $168.95	Facility		$148.09	$148.09	$168.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.30 / $613.94 / $957.18	Facility		$198.30	$613.94	$957.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $195.19 / $324.68	Professional		$142.22	$195.19	$324.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $390.76 / $843.70 / $843.70	Facility		$390.76	$843.70	$843.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,519.00 / $2,519.00 / $2,519.00	Professional		$2,519.00	$2,519.00	$2,519.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $194.76 / $365.21	Facility		$160.00	$194.76	$365.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.99 / $253.03 / $494.57	Professional		$177.99	$253.03	$494.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $215.18 / $339.71	Professional		$167.89	$215.18	$339.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $202.86 / $484.73	Facility		$160.96	$202.86	$484.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $195.19 / $338.10	Professional		$143.60	$195.19	$338.10
United Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $189.53 / $287.36	Professional		$143.83	$189.53	$287.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $161.38 / $223.45	Professional		$140.80	$161.38	$223.45