Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.54 / $115.50 / $138.46	Facility		$87.54	$115.50	$138.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $122.18 / $168.98	Professional		$106.04	$122.18	$168.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $115.38 / $122.42	Professional		$107.31	$115.38	$122.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $126.12 / $190.90	Professional		$104.73	$126.12	$190.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $122.59 / $163.22 / $214.94	Professional		$122.59	$163.22	$214.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.25 / $121.58 / $121.58	Facility		$105.25	$121.58	$121.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $285.00 / $440.00	Facility		$139.44	$285.00	$440.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $150.82 / $242.70	Professional		$115.38	$150.82	$242.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $283.52 / $1,564.67 / $1,564.67	Facility		$283.52	$1,564.67	$1,564.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.68 / $1,165.68 / $1,165.68	Professional		$1,165.68	$1,165.68	$1,165.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.29 / $141.16 / $256.36	Facility		$114.29	$141.16	$256.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $170.26 / $218.40	Professional		$129.16	$170.26	$218.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $189.83 / $236.68	Professional		$117.48	$189.83	$236.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.22 / $144.06 / $274.51	Facility		$115.22	$144.06	$274.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $165.43 / $304.55	Professional		$119.32	$165.43	$304.55
United Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $127.76 / $197.39	Professional		$95.82	$127.76	$197.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $117.71 / $161.53	Professional		$95.52	$117.71	$161.53