Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.73 / $227.32 / $289.49	Facility		$188.73	$227.32	$289.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $257.39 / $334.14	Professional		$223.47	$257.39	$334.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $236.65 / $259.95	Professional		$236.65	$236.65	$259.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $252.35 / $383.15	Professional		$192.01	$252.35	$383.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $260.32 / $329.47 / $437.80	Professional		$260.32	$329.47	$437.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $212.41 / $236.55 / $239.09	Facility		$212.41	$236.55	$239.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.46 / $327.37 / $501.87	Professional		$247.46	$327.37	$501.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,130.83 / $1,230.06 / $1,230.06	Facility		$1,130.83	$1,230.06	$1,230.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.65 / $1,596.18 / $2,084.25	Professional		$1,563.65	$1,596.18	$2,084.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.47 / $259.63 / $373.34	Facility		$223.47	$259.63	$373.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.43 / $369.69 / $494.79	Professional		$283.43	$369.69	$494.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $310.30 / $493.70	Professional		$236.65	$310.30	$493.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.47 / $260.18 / $379.89	Facility		$223.47	$260.18	$379.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $354.98 / $646.35	Professional		$253.00	$354.98	$646.35
United Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $283.83 / $465.66	Professional		$214.65	$283.83	$465.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $210.36 / $246.80 / $333.75	Professional		$210.36	$246.80	$333.75