Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.19 / $110.01 / $256.49	Facility		$87.19	$110.01	$256.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $110.01 / $143.22	Professional		$89.11	$110.01	$143.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $104.77 / $116.10	Professional		$87.08	$104.77	$116.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $92.69 / $484.22	Facility		$92.69	$92.69	$484.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $97.58 / $145.96	Professional		$74.59	$97.58	$145.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $121.24 / $211.31	Professional		$106.07	$121.24	$211.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.17 / $241.27 / $241.27	Facility		$99.17	$241.27	$241.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $119.00 / $162.04	Professional		$85.00	$119.00	$162.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $496.55 / $531.86 / $600.00	Facility		$496.55	$531.86	$600.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.69 / $747.63 / $979.58	Professional		$671.69	$747.63	$979.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $123.92 / $155.21	Facility		$99.65	$123.92	$155.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.67 / $137.93 / $211.36	Professional		$108.67	$137.93	$211.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.58 / $140.09 / $184.75	Professional		$116.58	$140.09	$184.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.53 / $123.87 / $154.69	Facility		$99.53	$123.87	$154.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $119.00 / $179.79	Professional		$86.00	$119.00	$179.79
United Facility/Professional Professional Modifier Low / Median / High Price $94.58 / $126.32 / $199.42	Professional		$94.58	$126.32	$199.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $117.86 / $161.66	Professional		$100.21	$117.86	$161.66