Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $119.72 / $159.97	Professional		$69.89	$119.72	$159.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $69.89 / $69.89	Professional		$69.89	$69.89	$69.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.68 / $114.16 / $154.93	Facility		$103.68	$114.16	$154.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $64.06 / $163.09	Professional		$5.00	$64.06	$163.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $116.49 / $258.00	Professional		$81.54	$116.49	$258.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.49 / $116.49 / $122.32	Facility		$116.49	$116.49	$122.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $92.77 / $256.91	Professional		$66.08	$92.77	$256.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $382.73 / $556.67 / $556.67	Facility		$382.73	$556.67	$556.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $873.68 / $957.98 / $957.98	Professional		$873.68	$957.98	$957.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.61 / $155.90 / $266.29	Facility		$95.61	$155.90	$266.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $116.49 / $145.61	Professional		$116.49	$116.49	$145.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $139.79 / $262.10	Professional		$75.72	$139.79	$262.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.63 / $155.90 / $280.88	Facility		$94.63	$155.90	$280.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $133.49 / $239.09	Professional		$66.08	$133.49	$239.09
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $97.18 / $256.27	Professional		$69.89	$97.18	$256.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $66.00 / $116.49	Professional		$45.43	$66.00	$116.49