Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.73 / $297.67 / $827.66	Facility		$125.73	$297.67	$827.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $112.13 / $203.88	Professional		$95.14	$112.13	$203.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $101.94 / $101.94	Professional		$101.94	$101.94	$101.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.41 / $413.54 / $868.19	Facility		$198.41	$413.54	$868.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $93.45 / $237.86	Professional		$5.00	$93.45	$237.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $152.91 / $237.86	Professional		$118.93	$152.91	$237.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $178.39 / $178.39	Facility		$169.90	$178.39	$178.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $373.29 / $751.48	Facility		$89.05	$373.29	$751.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $135.26 / $267.51	Professional		$75.65	$135.26	$267.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $271.83 / $807.03 / $807.03	Facility		$271.83	$807.03	$807.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $849.50 / $849.50 / $1,274.25	Professional		$849.50	$849.50	$1,274.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.64 / $169.90 / $254.85	Facility		$103.64	$169.90	$254.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $169.90 / $212.38	Professional		$161.41	$169.90	$212.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $203.88 / $382.27	Professional		$110.44	$203.88	$382.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $184.64 / $563.16	Facility		$101.94	$184.64	$563.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $195.39 / $267.51	Professional		$77.77	$195.39	$267.51
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $71.36 / $129.03	Professional		$54.19	$71.36	$129.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $169.90 / $229.37	Professional		$66.26	$169.90	$229.37