Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $114.82	Professional		$67.61	$83.18	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $104.71	Professional		$58.88	$89.13	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $645.65 / $691.83	Facility		$87.10	$645.65	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $70.79	Professional		$60.26	$63.10	$70.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $131.83	Professional		$72.44	$89.13	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $69.18 / $83.18	Facility		$58.88	$69.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $83.18 / $117.49	Facility		$74.13	$83.18	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $144.54	Professional		$66.07	$91.20	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $707.95	Professional		$562.34	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $120.23	Facility		$60.26	$81.28	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $117.49	Professional		$67.61	$81.28	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $223.87	Professional		$60.26	$109.65	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $83.18 / $125.89	Facility		$60.26	$83.18	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $162.18	Professional		$70.79	$93.33	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $114.82	Professional		$58.88	$77.62	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11