Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $408.57 / $424.60	Facility		$67.34	$408.57	$424.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $73.84 / $108.78	Professional		$61.45	$73.84	$108.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $66.80 / $91.33	Professional		$60.39	$66.80	$91.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $68.89 / $111.30	Professional		$56.48	$68.89	$111.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $92.49 / $170.65	Professional		$68.26	$92.49	$170.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $70.88 / $70.88	Facility		$60.96	$70.88	$70.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $650.00 / $1,452.00	Facility		$375.00	$650.00	$1,452.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $88.63 / $143.88	Professional		$67.47	$88.63	$143.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.07 / $958.63 / $958.63	Facility		$165.07	$958.63	$958.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $792.53 / $848.55 / $848.55	Professional		$792.53	$848.55	$848.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $83.65 / $153.68	Facility		$66.77	$83.65	$153.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $97.89 / $127.00	Professional		$74.87	$97.89	$127.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $2,025.00	Facility		$300.00	$300.00	$2,025.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $83.50 / $133.60	Professional		$61.40	$83.50	$133.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.11 / $84.70 / $164.97	Facility		$67.11	$84.70	$164.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $97.36 / $177.66	Professional		$69.70	$97.36	$177.66
United Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $390.00 / $840.00	Facility		$279.00	$390.00	$840.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $75.06 / $116.49	Professional		$56.43	$75.06	$116.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $68.17 / $93.52	Professional		$55.63	$68.17	$93.52