Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $131.83	Facility		$75.86	$89.13	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $177.83	Professional		$102.33	$131.83	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $162.18	Professional		$91.20	$117.49	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $165.96	Professional		$77.62	$117.49	$165.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $181.97	Professional		$89.13	$125.89	$181.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Facility		$128.82	$128.82	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $234.42	Professional		$100.00	$147.91	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,230.27	Professional		$933.25	$1,230.27	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $158.49 / $229.09	Facility		$123.03	$158.49	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $190.55	Professional		$102.33	$131.83	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $229.09	Professional		$95.50	$138.04	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $234.42	Facility		$125.89	$158.49	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $245.47	Professional		$100.00	$144.54	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $239.88	Professional		$104.71	$147.91	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $194.98	Professional		$112.20	$162.18	$194.98