Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $177.83 / $489.78	Facility		$63.10	$177.83	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $194.98	Professional		$57.54	$77.62	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $316.23 / $524.81	Facility		$123.03	$316.23	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $53.70 / $128.82	Professional		$5.01	$53.70	$128.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $131.83	Professional		$66.07	$95.50	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $95.50 / $95.50	Facility		$79.43	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $467.74	Facility		$81.28	$194.98	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $190.55	Professional		$48.98	$91.20	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $707.95	Professional		$478.63	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $186.21	Facility		$70.79	$95.50	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $75.86 / $117.49	Professional		$7.94	$75.86	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $95.50	Professional		$79.43	$79.43	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.33 / $204.17	Professional		$95.50	$102.33	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $112.20 / $363.08	Facility		$70.79	$112.20	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $177.83	Professional		$48.98	$97.72	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $95.50	Facility		$33.88	$39.81	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $75.86	Professional		$39.81	$52.48	$75.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $79.43 / $95.50	Professional		$37.15	$79.43	$95.50