Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.85 / $89.23 / $258.06	Facility		$35.85	$89.23	$258.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $37.29 / $46.38	Professional		$28.69	$37.29	$46.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $28.69 / $33.20	Professional		$22.95	$28.69	$33.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $154.43 / $279.69	Facility		$53.20	$154.43	$279.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $25.34 / $29.64	Professional		$5.00	$25.34	$29.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.07 / $71.72 / $210.54	Facility		$45.07	$71.72	$210.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $47.81 / $47.81	Facility		$47.81	$47.81	$47.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $93.95 / $212.88	Facility		$33.40	$93.95	$212.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $30.28 / $84.90	Professional		$25.34	$30.28	$84.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $227.10 / $227.10	Facility		$83.19	$227.10	$227.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $47.81 / $57.85	Facility		$34.82	$47.81	$57.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $47.81 / $76.98	Professional		$43.03	$47.81	$76.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $138.05	Facility		$106.70	$106.70	$138.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $47.81 / $110.57	Facility		$34.82	$47.81	$110.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $36.81 / $68.38	Professional		$25.34	$36.81	$68.38
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $24.79 / $34.51	Professional		$20.07	$24.79	$34.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $23.61 / $47.81	Professional		$18.64	$23.61	$47.81