Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.55 / $189.41 / $230.56	Facility		$143.55	$189.41	$230.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $199.15 / $320.75	Professional		$153.35	$199.15	$320.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $192.13 / $245.45	Professional		$172.82	$192.13	$245.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $194.59 / $314.39	Professional		$159.55	$194.59	$314.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $269.33 / $444.65	Professional		$197.62	$269.33	$444.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $186.35 / $186.35 / $210.92	Facility		$186.35	$186.35	$210.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.35 / $231.48 / $370.12	Professional		$174.35	$231.48	$370.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $461.21 / $920.42 / $1,015.74	Facility		$461.21	$920.42	$1,015.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.50 / $1,352.50 / $1,657.35	Professional		$1,352.50	$1,352.50	$1,657.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.95 / $212.81 / $372.68	Facility		$177.95	$212.81	$372.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.13 / $275.33 / $365.81	Professional		$205.13	$275.33	$365.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $251.60 / $399.00	Professional		$197.12	$251.60	$399.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.26 / $215.25 / $397.29	Facility		$179.26	$215.25	$397.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.94 / $251.61 / $500.64	Professional		$184.94	$251.61	$500.64
United Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $194.26 / $292.88	Professional		$145.34	$194.26	$292.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $197.12 / $268.98	Professional		$155.24	$197.12	$268.98