Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $233.00 / $608.30	Facility		$83.66	$233.00	$608.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $94.32 / $152.80	Professional		$69.93	$94.32	$152.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $74.92 / $74.92	Professional		$74.92	$74.92	$74.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.84 / $308.43 / $645.58	Facility		$154.84	$308.43	$645.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $68.68 / $174.82	Professional		$5.00	$68.68	$174.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $112.38 / $174.82	Professional		$87.41	$112.38	$174.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $124.87 / $124.87	Facility		$80.00	$124.87	$124.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.03 / $285.08 / $555.62	Facility		$87.03	$285.08	$555.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $70.36 / $196.31	Professional		$56.82	$70.36	$196.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $305.93 / $883.04 / $883.04	Facility		$305.93	$883.04	$883.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $624.35 / $624.35 / $936.53	Professional		$624.35	$624.35	$936.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.67 / $124.87 / $187.31	Facility		$78.67	$124.87	$187.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $124.87 / $156.09	Professional		$117.99	$124.87	$156.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $149.84 / $280.95	Professional		$81.17	$149.84	$280.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $143.60 / $483.76	Facility		$87.41	$143.60	$483.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $117.99 / $190.83	Professional		$57.87	$117.99	$190.83
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $52.45 / $79.92	Professional		$52.45	$52.45	$79.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $124.87 / $168.57	Professional		$48.70	$124.87	$168.57