Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $218.78 / $645.65	Facility		$208.93	$218.78	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $218.78	Professional		$77.62	$95.50	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $117.49	Professional		$50.12	$85.11	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $107.15 / $234.42	Facility		$102.33	$107.15	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $120.23	Professional		$52.48	$81.28	$120.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $186.21	Professional		$87.10	$128.82	$186.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $107.15	Facility		$85.11	$87.10	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $165.96	Professional		$67.61	$97.72	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $812.83	Professional		$616.60	$812.83	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $147.91	Facility		$77.62	$97.72	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $177.83	Professional		$77.62	$95.50	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $204.17	Professional		$75.86	$100.00	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $144.54	Facility		$77.62	$97.72	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $177.83	Professional		$69.18	$97.72	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $158.49	Professional		$74.13	$100.00	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $131.83	Professional		$74.13	$107.15	$131.83