Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $89.10 / $224.80	Facility		$65.00	$89.10	$224.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $93.83 / $125.11	Professional		$72.43	$93.83	$125.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $76.15 / $91.14	Professional		$68.09	$76.15	$91.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $88.15 / $155.88	Professional		$66.65	$88.15	$155.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $97.89 / $151.25	Professional		$60.41	$97.89	$151.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $95.00 / $105.63	Facility		$72.33	$95.00	$105.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $93.81 / $139.00	Professional		$65.00	$93.81	$139.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $460.18 / $491.63 / $491.63	Facility		$460.18	$491.63	$491.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $625.23 / $636.03 / $805.43	Professional		$625.23	$636.03	$805.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $108.93 / $139.52	Facility		$89.57	$108.93	$139.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $128.26 / $177.59	Professional		$106.84	$128.26	$177.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $120.00 / $160.41	Professional		$94.15	$120.00	$160.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.56 / $109.46 / $140.08	Facility		$89.56	$109.46	$140.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $87.00 / $136.03	Professional		$68.23	$87.00	$136.03
United Facility/Professional Facility Modifier Low / Median / High Price $112.86 / $112.86 / $112.86	Facility		$112.86	$112.86	$112.86
United Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $101.24 / $152.09	Professional		$77.69	$101.24	$152.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $99.38 / $137.05	Professional		$84.20	$99.38	$137.05