Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $90.80 / $121.94	Facility		$75.62	$90.80	$121.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $103.01 / $140.13	Professional		$82.94	$103.01	$140.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $110.10 / $150.13	Professional		$91.08	$110.10	$150.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $109.29 / $156.24	Professional		$86.16	$109.29	$156.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $125.11 / $179.87	Professional		$102.52	$125.11	$179.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $99.19 / $107.90	Facility		$88.15	$99.19	$107.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $134.50 / $201.62	Professional		$99.44	$134.50	$201.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.34 / $520.60 / $520.60	Facility		$478.34	$520.60	$520.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $625.05 / $631.55 / $878.03	Professional		$625.05	$631.55	$878.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.61 / $105.65 / $155.09	Facility		$90.61	$105.65	$155.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $156.38 / $197.93	Professional		$119.89	$156.38	$197.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $130.34 / $207.98	Professional		$100.09	$130.34	$207.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.80 / $105.65 / $157.58	Facility		$90.80	$105.65	$157.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $141.10 / $261.00	Professional		$103.97	$141.10	$261.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $111.41 / $180.37	Professional		$84.68	$111.41	$180.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $103.97 / $140.60	Professional		$88.62	$103.97	$140.60