Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.11 / $275.91 / $334.43	Facility		$209.11	$275.91	$334.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $282.85 / $392.73	Professional		$220.77	$282.85	$392.73
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $110.39 / $141.85 / $187.71	Professional	52	$110.39	$141.85	$187.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.50 / $278.69 / $357.37	Professional		$250.50	$278.69	$357.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.94 / $293.14 / $456.29	Professional		$250.94	$293.14	$456.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $285.93 / $390.17 / $581.90	Professional		$285.93	$390.17	$581.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $290.43 / $290.43 / $304.83	Facility		$290.43	$290.43	$304.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $316.87 / $505.55	Professional		$238.03	$316.87	$505.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $675.08 / $1,332.16 / $1,459.15	Facility		$675.08	$1,332.16	$1,459.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,893.50 / $1,893.50 / $2,394.44	Professional		$1,893.50	$1,893.50	$2,394.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.97 / $302.64 / $498.89	Facility		$243.97	$302.64	$498.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $313.12 / $421.76 / $529.45	Professional		$313.12	$421.76	$529.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.35 / $363.98 / $576.16	Professional		$285.35	$363.98	$576.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $303.49 / $525.53	Facility		$245.60	$303.49	$525.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.90 / $349.88 / $715.20	Professional		$245.90	$349.88	$715.20
United Facility/Professional Professional Modifier Low / Median / High Price $194.09 / $256.55 / $392.49	Professional		$194.09	$256.55	$392.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.32 / $285.35 / $390.17	Professional		$224.32	$285.35	$390.17