Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $316.23 / $870.96	Facility		$114.82	$316.23	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $234.42	Professional		$100.00	$138.04	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $281.84	Professional		$102.33	$107.15	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $478.63 / $870.96	Facility		$181.97	$478.63	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $107.15 / $229.09	Professional		$5.01	$107.15	$229.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $204.17	Professional		$120.23	$151.36	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Facility		$169.82	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $316.23 / $724.44	Facility		$91.20	$316.23	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $316.23	Professional		$72.44	$162.18	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,288.25	Professional		$851.14	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $323.59	Facility		$128.82	$169.82	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $138.04 / $213.80	Professional		$7.94	$138.04	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $169.82	Professional		$141.25	$141.25	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $363.08	Professional		$169.82	$181.97	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $501.19	Facility		$104.71	$181.97	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $295.12	Professional		$75.86	$162.18	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $169.82	Facility		$61.66	$70.79	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $117.49	Professional		$53.70	$70.79	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $169.82	Professional		$66.07	$141.25	$169.82