Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $121.73 / $143.69	Facility		$96.33	$121.73	$143.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $124.01 / $162.28	Professional		$100.36	$124.01	$162.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $115.90 / $127.58	Professional		$91.03	$115.90	$127.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.16 / $200.61 / $484.22	Facility		$87.16	$200.61	$484.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.58 / $110.04 / $163.72	Professional		$78.58	$110.04	$163.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $140.44 / $220.49	Professional		$114.71	$140.44	$220.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $106.10 / $113.99 / $123.62	Facility		$106.10	$113.99	$123.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $139.00 / $237.10	Professional		$102.55	$139.00	$237.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $547.98 / $591.95 / $591.95	Facility		$547.98	$591.95	$591.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $786.09 / $794.81 / $1,068.00	Professional		$786.09	$794.81	$1,068.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $137.76 / $176.15	Facility		$111.72	$137.76	$176.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $152.22 / $228.82	Professional		$123.30	$152.22	$228.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $136.51 / $206.48	Professional		$102.55	$136.51	$206.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.78 / $137.15 / $175.64	Facility		$110.78	$137.15	$175.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $137.04 / $261.27	Professional		$85.00	$137.04	$261.27
United Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $137.88 / $233.62	Professional		$104.29	$137.88	$233.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $127.45 / $174.48	Professional		$108.49	$127.45	$174.48