Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $316.23	Facility		$239.88	$295.12	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $436.52	Professional		$288.40	$331.13	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $323.59	Professional		$275.42	$302.00	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $467.74	Professional		$234.42	$331.13	$467.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $602.56	Professional		$316.23	$446.68	$602.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $295.12 / $331.13	Facility		$269.15	$295.12	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $676.08	Professional		$309.03	$407.38	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $588.84	Facility		$281.84	$346.74	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $501.19	Professional		$288.40	$331.13	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $1,230.27	Professional		$295.12	$616.60	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $575.44	Facility		$281.84	$346.74	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $741.31	Professional		$309.03	$426.58	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $562.34	Professional		$269.15	$354.81	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $407.38	Professional		$239.88	$338.84	$407.38