Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $616.60	Professional		$269.15	$354.81	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $436.52	Professional		$288.40	$338.84	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $562.34	Professional		$288.40	$354.81	$562.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $676.08	Professional		$354.81	$446.68	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $363.08	Facility		$338.84	$338.84	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $630.96	Professional		$288.40	$380.19	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $2,884.03	Professional		$2,344.23	$2,884.03	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $676.08	Facility		$323.59	$416.87	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $645.65	Professional		$269.15	$363.08	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $870.96	Professional		$354.81	$549.54	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $660.69	Facility		$323.59	$416.87	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $776.25	Professional		$288.40	$389.05	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $489.78	Professional		$234.42	$309.03	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $457.09	Professional		$218.78	$380.19	$457.09