Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.20 / $434.90 / $1,135.40	Facility		$176.20	$434.90	$1,135.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $174.80 / $359.01	Professional		$139.84	$174.80	$359.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $116.54 / $116.54	Professional		$116.54	$116.54	$116.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.35 / $743.49 / $1,307.52	Facility		$284.35	$743.49	$1,307.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $128.19 / $326.30	Professional		$5.00	$128.19	$326.30
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $361.26 / $673.06	Facility		$233.07	$361.26	$673.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $233.07 / $233.07	Facility		$80.00	$233.07	$233.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.37 / $535.04 / $1,086.79	Facility		$194.37	$535.04	$1,086.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $221.49 / $425.00	Professional		$119.83	$221.49	$425.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $465.12 / $1,107.08 / $1,107.08	Facility		$465.12	$1,107.08	$1,107.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.34 / $1,165.34 / $1,748.03	Professional		$1,165.34	$1,165.34	$1,748.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.83 / $233.07 / $396.92	Facility		$146.83	$233.07	$396.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $233.07 / $349.61	Professional		$233.07	$233.07	$349.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $279.68 / $524.41	Professional		$151.50	$279.68	$524.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.57 / $297.67 / $1,006.53	Facility		$172.57	$297.67	$1,006.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $268.02 / $418.15	Professional		$121.85	$268.02	$418.15
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $123.22 / $233.07	Professional		$97.89	$123.22	$233.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $233.07 / $314.64	Professional		$90.90	$233.07	$314.64