Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $91.19 / $118.29	Facility		$75.00	$91.19	$118.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $88.72 / $120.00	Professional		$64.73	$88.72	$120.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $81.01 / $94.25	Professional		$68.86	$81.01	$94.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $70.92 / $107.74	Professional		$54.63	$70.92	$107.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $93.09 / $142.38	Professional		$74.36	$93.09	$142.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $77.42 / $102.03	Facility		$77.42	$77.42	$102.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $91.00 / $134.12	Professional		$55.40	$91.00	$134.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $383.01 / $409.36 / $409.36	Facility		$383.01	$409.36	$409.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.51 / $571.19 / $767.55	Professional		$512.51	$571.19	$767.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $100.55 / $132.00	Facility		$78.81	$100.55	$132.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $106.39 / $161.88	Professional		$78.33	$106.39	$161.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $107.25 / $151.22	Professional		$81.98	$107.25	$151.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $100.79 / $132.00	Facility		$78.37	$100.79	$132.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $86.00 / $138.13	Professional		$49.00	$86.00	$138.13
United Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $87.98 / $135.05	Professional		$65.34	$87.98	$135.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $92.95 / $127.53	Professional		$78.95	$92.95	$127.53