Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $158.88 / $559.32	Facility		$90.00	$158.88	$559.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $147.78 / $208.68	Professional		$111.73	$147.78	$208.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $122.18 / $166.91	Professional		$87.48	$122.18	$166.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $138.13 / $210.91	Professional		$105.55	$138.13	$210.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $180.97 / $269.04	Professional		$119.20	$180.97	$269.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.06 / $131.06 / $171.87	Facility		$131.06	$131.06	$171.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $144.74 / $219.63	Professional		$100.18	$144.74	$219.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $669.10 / $713.45 / $713.45	Facility		$669.10	$713.45	$713.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $947.18 / $1,103.45 / $1,377.38	Professional		$947.18	$1,103.45	$1,377.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.78 / $172.18 / $209.38	Facility		$140.78	$172.18	$209.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.19 / $182.29 / $293.30	Professional		$123.19	$182.29	$293.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $458.00 / $458.00 / $458.00	Facility		$458.00	$458.00	$458.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $181.49 / $254.14	Professional		$138.22	$181.49	$254.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.84 / $172.09 / $207.77	Facility		$139.84	$172.09	$207.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $137.00 / $213.74	Professional		$96.00	$137.00	$213.74
United Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $152.35 / $244.27	Professional		$107.18	$152.35	$244.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $167.88 / $230.33	Professional		$142.44	$167.88	$230.33