Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $263.03	Facility		$69.18	$114.82	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $199.53	Professional		$72.44	$91.20	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $100.00	Professional		$97.72	$97.72	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $426.58	Facility		$89.13	$218.78	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $69.18	Professional		$61.66	$69.18	$69.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $95.50 / $234.42	Facility		$44.67	$95.50	$234.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $131.83	Professional		$79.43	$95.50	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $109.65 / $109.65	Facility		$83.18	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $100.00	Facility		$60.26	$75.86	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $151.36	Professional		$72.44	$93.33	$151.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $691.83	Professional		$537.03	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $91.20 / $147.91	Facility		$39.81	$91.20	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $181.97	Professional		$72.44	$97.72	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $114.82	Facility		$63.10	$63.10	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $89.13 / $141.25	Facility		$38.02	$89.13	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $147.91	Professional		$70.79	$93.33	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $93.33	Facility		$67.61	$67.61	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $81.28 / $131.83	Professional		$38.02	$81.28	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11