Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $103.00 / $211.17	Facility		$65.00	$103.00	$211.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.27 / $130.00	Professional		$75.86	$97.27	$130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $86.49 / $105.72	Professional		$71.36	$86.49	$105.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $91.91 / $157.37	Professional		$69.50	$91.91	$157.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $103.62 / $157.71	Professional		$72.58	$103.62	$157.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $95.00 / $109.35	Facility		$79.90	$95.00	$109.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $100.32 / $150.00	Professional		$70.00	$100.32	$150.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $479.89 / $512.91 / $1,200.00	Facility		$479.89	$512.91	$1,200.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $653.17 / $663.21 / $839.55	Professional		$653.17	$663.21	$839.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $118.25 / $152.74	Facility		$94.80	$118.25	$152.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $133.30 / $185.15	Professional		$80.84	$133.30	$185.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $124.58 / $167.89	Professional		$95.00	$124.58	$167.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.82 / $118.44 / $153.47	Facility		$93.82	$118.44	$153.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $91.31 / $143.66	Professional		$69.00	$91.31	$143.66
United Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $117.67 / $117.67	Facility		$117.67	$117.67	$117.67
United Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $107.19 / $169.36	Professional		$81.72	$107.19	$169.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $103.62 / $142.88	Professional		$87.79	$103.62	$142.88