Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $91.88 / $2,382.75	Facility		$71.12	$91.88	$2,382.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $89.45 / $119.75	Professional		$68.00	$89.45	$119.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $91.81 / $113.98	Professional		$62.34	$91.81	$113.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $159.54 / $309.85	Facility		$74.73	$159.54	$309.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $77.86 / $118.64	Professional		$53.25	$77.86	$118.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $103.64 / $165.08	Professional		$82.63	$103.64	$165.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $100.18 / $100.18	Facility		$70.54	$100.18	$100.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $102.00 / $132.00	Professional		$71.00	$102.00	$132.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $340.61 / $363.90 / $363.90	Facility		$340.61	$363.90	$363.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $488.59 / $593.17 / $774.23	Professional		$488.59	$593.17	$774.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $97.26 / $130.47	Facility		$71.17	$97.26	$130.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $111.35 / $173.87	Professional		$83.70	$111.35	$173.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $112.07 / $153.88	Professional		$84.00	$112.07	$153.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $97.26 / $130.47	Facility		$71.12	$97.26	$130.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $102.00 / $146.58	Professional		$72.00	$102.00	$146.58
United Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $107.61 / $166.42	Professional		$81.06	$107.61	$166.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $93.99 / $128.53	Professional		$79.78	$93.99	$128.53