Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.14 / $141.00 / $183.47	Facility		$117.14	$141.00	$183.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $158.94 / $216.30	Professional		$132.38	$158.94	$216.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $150.44 / $206.48	Professional		$142.19	$150.44	$206.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.78 / $400.58 / $801.17	Facility		$176.78	$400.58	$801.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $167.39 / $241.39	Professional		$130.22	$167.39	$241.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $168.18 / $213.21 / $282.85	Professional		$168.18	$213.21	$282.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.40 / $149.09 / $162.03	Facility		$132.40	$149.09	$162.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $205.72 / $309.54	Professional		$152.88	$205.72	$309.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $719.08 / $782.75 / $782.75	Facility		$719.08	$782.75	$782.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $970.00 / $978.66 / $1,321.28	Professional		$970.00	$978.66	$1,321.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $162.05 / $233.33	Facility		$138.69	$162.05	$233.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.23 / $235.08 / $306.93	Professional		$180.23	$235.08	$306.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $196.26 / $312.94	Professional		$150.44	$196.26	$312.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.38 / $162.05 / $240.72	Facility		$139.38	$162.05	$240.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $219.04 / $402.16	Professional		$158.33	$219.04	$402.16
United Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $172.42 / $279.16	Professional		$131.37	$172.42	$279.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $156.44 / $211.56	Professional		$133.34	$156.44	$211.56