Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.83 / $483.28 / $650.58	Facility		$72.83	$483.28	$650.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $91.86 / $125.04	Professional		$72.83	$91.86	$125.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $79.83 / $100.57	Professional		$72.97	$79.83	$100.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.81 / $85.61 / $126.45	Facility		$84.81	$85.61	$126.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $75.70 / $115.49	Professional		$59.04	$75.70	$115.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $133.28 / $192.64	Professional		$87.85	$133.28	$192.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $86.90 / $106.65	Facility		$84.95	$86.90	$106.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $93.73 / $161.02	Professional		$68.00	$93.73	$161.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.71 / $433.30 / $1,400.00	Facility		$405.71	$433.30	$1,400.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $557.69 / $617.49 / $816.38	Professional		$557.69	$617.49	$816.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.63 / $92.43 / $120.46	Facility		$76.63	$92.43	$120.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $128.66 / $178.16	Professional		$99.69	$128.66	$178.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $107.81 / $161.41	Professional		$80.94	$107.81	$161.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $92.43 / $120.29	Facility		$76.59	$92.43	$120.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $97.61 / $193.27	Professional		$68.50	$97.61	$193.27
United Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $96.95 / $157.35	Professional		$74.87	$96.95	$157.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $99.56 / $136.65	Professional		$84.48	$99.56	$136.65