Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $130.37 / $177.44	Facility		$75.00	$130.37	$177.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $130.07 / $176.58	Professional		$101.10	$130.07	$176.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $109.91 / $154.50	Professional		$98.72	$109.91	$154.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $111.63 / $164.92	Professional		$87.53	$111.63	$164.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $116.33 / $175.00	Professional		$89.59	$116.33	$175.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $127.70 / $128.99 / $158.99	Facility		$127.70	$128.99	$158.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $145.00 / $230.98	Professional		$101.00	$145.00	$230.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $610.08 / $651.46 / $651.46	Facility		$610.08	$651.46	$651.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $825.21 / $924.30 / $1,226.25	Professional		$825.21	$924.30	$1,226.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.34 / $153.69 / $191.19	Facility		$125.34	$153.69	$191.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $174.16 / $267.25	Professional		$143.40	$174.16	$267.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $167.75 / $238.90	Professional		$118.11	$167.75	$238.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $154.50 / $191.19	Facility		$124.37	$154.50	$191.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $122.69 / $230.00	Professional		$69.00	$122.69	$230.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $140.50 / $225.40	Professional		$102.53	$140.50	$225.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $149.31 / $204.92	Professional		$126.71	$149.31	$204.92