Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $110.98 / $251.94	Facility		$92.56	$110.98	$251.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $119.11 / $156.47	Professional		$90.92	$119.11	$156.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $117.54 / $130.18	Professional		$95.47	$117.54	$130.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.13 / $298.83 / $510.51	Facility		$123.13	$298.83	$510.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $106.57 / $163.01	Professional		$73.77	$106.57	$163.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $147.37 / $209.84	Professional		$111.89	$147.37	$209.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.25 / $122.69 / $122.69	Facility		$98.25	$122.69	$122.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $134.00 / $175.69	Professional		$93.00	$134.00	$175.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $481.38 / $515.85 / $515.85	Facility		$481.38	$515.85	$515.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $656.48 / $817.07 / $1,043.84	Professional		$656.48	$817.07	$1,043.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.01 / $129.28 / $171.50	Facility		$97.01	$129.28	$171.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $146.84 / $225.32	Professional		$113.07	$146.84	$225.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.98 / $147.06 / $202.72	Professional		$116.98	$147.06	$202.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $128.69 / $171.19	Facility		$96.70	$128.69	$171.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $134.00 / $193.73	Professional		$94.00	$134.00	$193.73
United Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $143.13 / $215.54	Professional		$105.60	$143.13	$215.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $125.70 / $171.93	Professional		$106.84	$125.70	$171.93