Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $107.81 / $215.63	Professional		$80.50	$107.81	$215.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $71.88 / $86.25	Professional		$71.88	$71.88	$86.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.94 / $143.75 / $350.75	Facility		$127.94	$143.75	$350.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $79.06 / $201.25	Professional		$5.00	$79.06	$201.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $195.50 / $279.00	Professional		$100.63	$195.50	$279.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $143.75 / $143.75	Facility		$80.00	$143.75	$143.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $114.43 / $278.18	Professional		$73.25	$114.43	$278.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $414.92 / $682.81 / $682.81	Facility		$414.92	$682.81	$682.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.57 / $1,038.57 / $1,078.13	Professional		$1,038.57	$1,038.57	$1,078.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $188.40 / $288.70	Facility		$129.38	$188.40	$288.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $143.75 / $206.10	Professional		$143.75	$143.75	$206.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.44 / $172.50 / $323.44	Professional		$93.44	$172.50	$323.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.19 / $188.40 / $308.82	Facility		$122.19	$188.40	$308.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $165.31 / $264.94	Professional		$76.19	$165.31	$264.94
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $107.34 / $300.00	Professional		$86.25	$107.34	$300.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $74.45 / $143.75	Professional		$56.06	$74.45	$143.75