Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.30 / $237.79 / $625.67	Facility		$94.30	$237.79	$625.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $94.30 / $152.91	Professional		$71.36	$94.30	$152.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $127.43 / $127.43	Professional		$127.43	$127.43	$127.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $406.50 / $667.73	Facility		$152.91	$406.50	$667.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $70.09 / $178.40	Professional		$5.00	$70.09	$178.40
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $184.77 / $235.75	Facility		$121.06	$184.77	$235.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $127.43 / $127.43	Facility		$80.00	$127.43	$127.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.65 / $292.32 / $567.72	Facility		$100.65	$292.32	$567.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $118.25 / $220.00	Professional		$64.97	$118.25	$220.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $297.36 / $605.29 / $605.29	Facility		$297.36	$605.29	$605.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $637.15 / $637.15 / $955.73	Professional		$637.15	$637.15	$955.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.28 / $127.43 / $203.89	Facility		$80.28	$127.43	$203.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $127.43 / $159.29	Professional		$121.06	$127.43	$159.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $152.91 / $286.72	Professional		$82.83	$152.91	$286.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.30 / $156.71 / $550.37	Facility		$94.30	$156.71	$550.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $146.54 / $220.00	Professional		$64.97	$146.54	$220.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $63.81 / $90.54	Professional		$53.52	$63.81	$90.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $127.43 / $172.03	Professional		$49.70	$127.43	$172.03