Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $106.96 / $212.18	Professional		$82.14	$106.96	$212.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $178.00 / $178.00	Professional		$178.00	$178.00	$178.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $185.96 / $218.70	Professional		$85.93	$185.96	$218.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $206.43 / $275.32	Professional		$145.26	$206.43	$275.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.94 / $142.19 / $216.97	Facility		$111.94	$142.19	$216.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $103.47 / $289.23	Professional		$64.73	$103.47	$289.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.34 / $653.51 / $653.51	Facility		$251.34	$653.51	$653.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $835.13 / $1,049.85 / $1,275.08	Professional		$835.13	$1,049.85	$1,275.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $168.06 / $279.69	Facility		$98.01	$168.06	$279.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $212.42 / $298.47	Professional		$167.36	$212.42	$298.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $167.77 / $347.02	Professional		$99.71	$167.77	$347.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.82 / $168.06 / $309.74	Facility		$96.82	$168.06	$309.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $130.38 / $359.93	Professional		$65.63	$130.38	$359.93
United Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $118.04 / $358.00	Professional		$107.40	$118.04	$358.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $80.11 / $152.52	Professional		$58.83	$80.11	$152.52