Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.79 / $185.11 / $235.54	Facility		$153.79	$185.11	$235.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $208.04 / $278.67	Professional		$180.25	$208.04	$278.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $250.39 / $250.39	Professional		$206.73	$250.39	$250.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.62 / $229.98 / $324.30	Professional		$175.62	$229.98	$324.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $215.91 / $273.77 / $363.12	Professional		$215.91	$273.77	$363.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.61 / $190.87 / $214.43	Facility		$174.61	$190.87	$214.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $267.06 / $405.58	Professional		$200.01	$267.06	$405.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $920.42 / $1,002.77 / $1,002.77	Facility		$920.42	$1,002.77	$1,002.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.63 / $1,299.72 / $1,693.73	Professional		$1,273.63	$1,299.72	$1,693.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.68 / $211.29 / $305.41	Facility		$180.68	$211.29	$305.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.69 / $300.91 / $456.85	Professional		$230.69	$300.91	$456.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.62 / $253.64 / $404.04	Professional		$193.62	$253.64	$404.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.78 / $211.87 / $309.38	Facility		$180.78	$211.87	$309.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.16 / $287.89 / $526.89	Professional		$204.16	$287.89	$526.89
United Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $228.88 / $370.57	Professional		$170.64	$228.88	$370.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $200.87 / $271.66	Professional		$171.16	$200.87	$271.66