Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $345.58 / $909.33	Facility		$122.23	$345.58	$909.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $140.75 / $312.45	Professional		$103.71	$140.75	$312.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $111.12 / $111.12	Professional		$111.12	$111.12	$111.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.61 / $463.00 / $972.30	Facility		$242.61	$463.00	$972.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $101.86 / $259.27	Professional		$5.00	$101.86	$259.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $251.87 / $416.70	Professional		$129.63	$251.87	$416.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $183.35 / $183.35 / $185.20	Facility		$183.35	$183.35	$185.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.10 / $396.05 / $812.80	Facility		$121.10	$396.05	$812.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $176.09 / $291.48	Professional		$93.81	$176.09	$291.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $453.74 / $879.70 / $879.70	Facility		$453.74	$879.70	$879.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $926.00 / $926.00 / $1,389.00	Professional		$926.00	$926.00	$1,389.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.68 / $185.20 / $315.39	Facility		$116.68	$185.20	$315.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $185.20 / $231.50	Professional		$175.15	$185.20	$231.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $222.24 / $416.70	Professional		$120.38	$222.24	$416.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $217.51 / $666.79	Facility		$120.98	$217.51	$666.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $212.98 / $324.10	Professional		$94.42	$212.98	$324.10
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $118.53	Professional		$77.78	$77.78	$118.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $185.20 / $250.02	Professional		$72.23	$185.20	$250.02