Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $147.87 / $391.28	Facility		$90.00	$147.87	$391.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $129.13 / $194.24	Professional		$99.59	$129.13	$194.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $442.00 / $442.00 / $442.00	Professional	25	$442.00	$442.00	$442.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $114.18 / $152.24	Professional		$85.02	$114.18	$152.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $116.18 / $179.85	Professional		$92.90	$116.18	$179.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $155.26 / $228.36	Professional		$106.87	$155.26	$228.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $127.84 / $127.84 / $165.72	Facility		$127.84	$127.84	$165.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $127.00 / $195.00	Professional		$76.00	$127.00	$195.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $629.74 / $672.17 / $1,400.00	Facility		$629.74	$672.17	$1,400.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $951.21 / $1,269.83	Professional		$217.71	$951.21	$1,269.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $147.97 / $184.81	Facility		$126.73	$147.97	$184.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $155.58 / $250.28	Professional		$106.04	$155.58	$250.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.18 / $174.81 / $248.42	Professional		$122.18	$174.81	$248.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.46 / $147.46 / $184.81	Facility		$123.46	$147.46	$184.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $108.00 / $186.40	Professional		$69.00	$108.00	$186.40
United Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $134.59 / $216.02	Professional		$102.71	$134.59	$216.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $155.26 / $213.14	Professional		$131.68	$155.26	$213.14