Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $99.90 / $657.92	Facility		$75.95	$99.90	$657.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $87.13 / $278.43	Professional		$73.77	$87.13	$278.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $81.30 / $105.69	Professional		$73.76	$81.30	$105.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $88.04 / $133.26	Professional		$73.11	$88.04	$133.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $109.76 / $150.41	Professional		$85.37	$109.76	$150.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $651.66 / $651.66	Facility		$76.05	$651.66	$651.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $285.00 / $440.00	Facility		$96.79	$285.00	$440.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $101.90 / $164.66	Professional		$75.78	$101.90	$164.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $508.66 / $632.91	Facility		$195.88	$508.66	$632.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $746.29 / $746.29 / $746.29	Professional		$746.29	$746.29	$746.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.98 / $93.03 / $174.04	Facility		$76.98	$93.03	$174.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $124.70 / $169.65	Professional		$91.44	$124.70	$169.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $129.69 / $168.42	Professional		$85.25	$129.69	$168.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.51 / $94.37 / $189.25	Facility		$77.51	$94.37	$189.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $110.82 / $212.73	Professional		$81.98	$110.82	$212.73
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $88.06 / $134.47	Professional		$65.41	$88.06	$134.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $83.31 / $113.82	Professional		$66.34	$83.31	$113.82