Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.36 / $286.91 / $362.90	Facility		$238.36	$286.91	$362.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.66 / $321.73 / $415.23	Professional		$271.66	$321.73	$415.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.25 / $302.42 / $348.31	Professional		$281.25	$302.42	$348.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $337.34 / $488.47	Professional		$262.14	$337.34	$488.47
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $332.66 / $416.54 / $550.42	Professional		$332.66	$416.54	$550.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $268.87 / $294.81 / $328.12	Facility		$268.87	$294.81	$328.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.08 / $411.61 / $627.83	Professional		$310.08	$411.61	$627.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,421.46 / $1,545.32 / $1,545.32	Facility		$1,421.46	$1,545.32	$1,545.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.07 / $2,566.19 / $7,560.00	Professional		$1,974.07	$2,566.19	$7,560.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.60 / $326.39 / $470.18	Facility		$279.60	$326.39	$470.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $355.25 / $464.71 / $714.90	Professional		$355.25	$464.71	$714.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $298.41 / $390.97 / $619.66	Professional		$298.41	$390.97	$619.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.60 / $327.27 / $478.76	Facility		$279.60	$327.27	$478.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.32 / $445.21 / $812.98	Professional		$316.32	$445.21	$812.98
United Facility/Professional Professional Modifier Low / Median / High Price $268.24 / $354.69 / $574.26	Professional		$268.24	$354.69	$574.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $309.32 / $418.27	Professional		$263.64	$309.32	$418.27