Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $263.38 / $738.12	Facility		$100.72	$263.38	$738.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $105.23 / $180.40	Professional		$84.18	$105.23	$180.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $90.20 / $90.20	Professional		$90.20	$90.20	$90.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.93 / $383.34 / $811.78	Facility		$196.93	$383.34	$811.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $82.68 / $210.46	Professional		$5.00	$82.68	$210.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $135.30 / $210.46	Professional		$105.23	$135.30	$210.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $150.33 / $150.33	Facility		$80.00	$150.33	$150.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.83 / $327.77 / $665.99	Facility		$108.83	$327.77	$665.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $142.94 / $236.46	Professional		$70.56	$142.94	$236.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $368.31 / $883.04 / $883.04	Facility		$368.31	$883.04	$883.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $751.65 / $751.65 / $1,127.48	Professional		$751.65	$751.65	$1,127.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.71 / $150.33 / $225.50	Facility		$94.71	$150.33	$225.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.81 / $150.33 / $187.91	Professional		$142.81	$150.33	$187.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $180.40 / $338.24	Professional		$97.71	$180.40	$338.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.23 / $176.57 / $503.61	Facility		$105.23	$176.57	$503.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $172.88 / $236.46	Professional		$76.17	$172.88	$236.46
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $96.21	Professional		$63.14	$63.14	$96.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $150.33 / $202.95	Professional		$58.63	$150.33	$202.95