Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $82.34 / $421.06	Facility		$69.66	$82.34	$421.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $86.24 / $114.87	Professional		$67.98	$86.24	$114.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $87.04 / $108.58	Professional		$77.39	$87.04	$108.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $79.98 / $121.69	Professional		$57.64	$79.98	$121.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $103.65 / $161.02	Professional		$78.34	$103.65	$161.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $101.82 / $101.82	Facility		$71.90	$101.82	$101.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $98.00 / $130.54	Professional		$67.00	$98.00	$130.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $357.27 / $384.09 / $384.09	Facility		$357.27	$384.09	$384.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $507.82 / $590.30 / $737.78	Professional		$507.82	$590.30	$737.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.25 / $97.93 / $129.51	Facility		$74.25	$97.93	$129.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $115.22 / $170.80	Professional		$87.79	$115.22	$170.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $107.35 / $150.51	Professional		$85.54	$107.35	$150.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $97.85 / $129.69	Facility		$73.98	$97.85	$129.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $98.00 / $142.58	Professional		$68.00	$98.00	$142.58
United Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $103.40 / $158.53	Professional		$74.70	$103.40	$158.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $89.02 / $121.86	Professional		$75.64	$89.02	$121.86