Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.50 / $327.30 / $872.06	Facility		$130.50	$327.30	$872.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $126.29 / $210.48	Professional		$98.22	$126.29	$210.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $87.70 / $87.70	Professional		$87.70	$87.70	$87.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.02 / $433.24 / $899.80	Facility		$228.02	$433.24	$899.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $96.47 / $245.56	Professional		$5.00	$96.47	$245.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $157.50 / $175.00	Professional		$122.78	$157.50	$175.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $175.40	Facility		$175.40	$175.40	$175.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.76 / $385.35 / $780.97	Facility		$118.76	$385.35	$780.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $139.71 / $298.85	Professional		$88.89	$139.71	$298.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $280.64 / $833.15 / $833.15	Facility		$280.64	$833.15	$833.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $877.00 / $877.00 / $1,315.50	Professional		$877.00	$877.00	$1,315.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.50 / $175.40 / $280.64	Facility		$110.50	$175.40	$280.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $175.40 / $219.25	Professional		$166.63	$175.40	$219.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $210.48 / $394.65	Professional		$114.01	$210.48	$394.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $210.48 / $679.27	Facility		$118.62	$210.48	$679.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $192.94 / $298.85	Professional		$89.39	$192.94	$298.85
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $75.29 / $108.05	Professional		$73.67	$75.29	$108.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $175.40 / $236.79	Professional		$68.41	$175.40	$236.79