Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $169.47 / $875.70	Facility		$61.92	$169.47	$875.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $23.22 / $52.83 / $105.63	Facility	52	$23.22	$52.83	$105.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $139.13 / $252.41	Professional		$69.63	$139.13	$252.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.47 / $126.74 / $148.16	Professional		$94.47	$126.74	$148.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.16 / $224.98 / $419.17	Facility		$96.16	$224.98	$419.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $131.46 / $224.17	Professional		$68.59	$131.46	$224.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $76.03 / $263.01 / $560.61	Facility		$76.03	$263.01	$560.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $108.28 / $272.51	Professional		$75.73	$108.28	$272.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $128.00 / $147.47	Facility		$65.80	$128.00	$147.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $124.64 / $837.00	Facility		$80.98	$124.64	$837.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $153.37 / $312.64	Professional		$81.25	$153.37	$312.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.00 / $436.00 / $443.30	Facility		$436.00	$436.00	$443.30
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $298.22 / $298.22 / $310.81	Facility	52	$298.22	$298.22	$310.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $809.00 / $1,806.86 / $1,861.06	Professional		$809.00	$1,806.86	$1,861.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.68 / $157.97 / $391.95	Facility		$74.68	$157.97	$391.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $177.07 / $277.14	Professional		$92.59	$177.07	$277.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $153.96 / $288.81	Professional		$72.79	$153.96	$288.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.68 / $159.79 / $401.19	Facility		$74.68	$159.79	$401.19
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $170.90 / $355.01	Professional		$84.53	$170.90	$355.01
United Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $198.92 / $363.08	Professional		$145.58	$198.92	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $153.84 / $208.72	Professional		$131.41	$153.84	$208.72