Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $120.89 / $153.44	Facility		$100.35	$120.89	$153.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $134.60 / $183.31	Professional		$116.02	$134.60	$183.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $128.75 / $174.83	Professional		$119.26	$128.75	$174.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.71 / $131.74 / $203.58	Professional		$100.71	$131.74	$203.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $154.50 / $232.60	Professional		$128.75	$154.50	$232.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $169.74 / $169.74	Facility		$110.27	$169.74	$169.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $172.25 / $262.52	Professional		$129.65	$172.25	$262.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $601.01 / $653.65 / $653.65	Facility		$601.01	$653.65	$653.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.61 / $1,086.68 / $1,260.00	Professional		$831.61	$1,086.68	$1,260.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.76 / $137.46 / $198.09	Facility		$117.76	$137.46	$198.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $196.48 / $298.47	Professional		$150.28	$196.48	$298.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.73 / $164.02 / $261.66	Professional		$125.73	$164.02	$261.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.76 / $137.59 / $201.17	Facility		$117.76	$137.59	$201.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $186.31 / $339.30	Professional		$132.44	$186.31	$339.30
United Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $146.65 / $237.44	Professional		$110.90	$146.65	$237.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $130.82 / $176.90	Professional		$111.53	$130.82	$176.90