Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.33 / $185.96 / $235.54	Facility		$154.33	$185.96	$235.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $209.75 / $286.42	Professional		$179.67	$209.75	$286.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $197.93 / $255.16	Professional		$184.64	$197.93	$255.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.02 / $567.72 / $1,063.15	Facility		$236.02	$567.72	$1,063.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $200.57 / $314.04	Professional		$154.88	$200.57	$314.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $200.84 / $237.13 / $347.45	Professional		$200.84	$237.13	$347.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $241.58 / $241.58	Facility		$169.71	$241.58	$241.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.32 / $265.70 / $404.62	Professional		$199.32	$265.70	$404.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $923.41 / $1,005.67 / $1,005.67	Facility		$923.41	$1,005.67	$1,005.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.01 / $1,666.58 / $2,520.00	Professional		$1,279.01	$1,666.58	$2,520.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.14 / $211.37 / $306.26	Facility		$181.14	$211.37	$306.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.63 / $345.29 / $594.90	Professional		$230.63	$345.29	$594.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.22 / $251.72 / $401.78	Professional		$193.22	$251.72	$401.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.14 / $211.53 / $309.49	Facility		$181.14	$211.53	$309.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.11 / $287.74 / $525.09	Professional		$204.11	$287.74	$525.09
United Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $226.99 / $367.51	Professional		$168.39	$226.99	$367.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $200.84 / $271.61	Professional		$171.16	$200.84	$271.61