Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $157.47 / $292.14	Facility		$78.75	$157.47	$292.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $91.45 / $147.10	Professional		$71.30	$91.45	$147.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $79.50 / $104.16	Professional		$56.86	$79.50	$104.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $79.09 / $121.25	Professional		$61.67	$79.09	$121.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $106.11 / $158.44	Professional		$73.48	$106.11	$158.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.24 / $112.98	Facility		$89.13	$89.24	$112.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $88.37 / $133.80	Professional		$65.00	$88.37	$133.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $425.37 / $454.43 / $1,400.00	Facility		$425.37	$454.43	$1,400.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $581.94 / $645.08 / $856.73	Professional		$581.94	$645.08	$856.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $106.46 / $127.75	Facility		$88.50	$106.46	$127.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $118.16 / $185.93	Professional		$71.90	$118.16	$185.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $196.13 / $196.13 / $196.13	Facility		$196.13	$196.13	$196.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $118.95 / $168.11	Professional		$86.22	$118.95	$168.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $106.46 / $127.91	Facility		$87.79	$106.46	$127.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $85.00 / $133.11	Professional		$69.00	$85.00	$133.11
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $95.00 / $145.00	Professional		$70.00	$95.00	$145.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $104.82 / $143.88	Professional		$88.90	$104.82	$143.88