Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $108.35 / $200.06	Facility		$91.71	$108.35	$200.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $108.35 / $162.06	Professional		$73.42	$108.35	$162.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $107.28 / $113.72	Professional		$97.63	$107.28	$113.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $151.28 / $285.39	Facility		$68.20	$151.28	$285.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $133.50 / $190.16	Professional		$101.81	$133.50	$190.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $148.12 / $162.24	Facility		$101.46	$148.12	$162.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $130.54 / $177.01	Professional		$107.28	$130.54	$177.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $106.08 / $109.55 / $109.55	Facility		$106.08	$109.55	$109.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $59.78 / $146.00	Facility		$50.10	$59.78	$146.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $119.85 / $171.21	Professional		$70.94	$119.85	$171.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $224.67 / $642.39 / $642.39	Facility		$224.67	$642.39	$642.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.33 / $758.33 / $995.25	Professional		$758.33	$758.33	$995.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.64 / $108.35 / $156.79	Facility		$50.64	$108.35	$156.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $170.31 / $227.08	Professional		$113.54	$170.31	$227.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $118.67 / $148.34	Professional		$107.28	$118.67	$148.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.64 / $107.56 / $155.13	Facility		$50.64	$107.56	$155.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $124.70 / $214.57	Professional		$69.48	$124.70	$214.57
United Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $93.92 / $123.89	Facility		$90.34	$93.92	$123.89
United Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $106.53 / $159.91	Professional		$64.94	$106.53	$159.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $107.28 / $150.19	Professional		$96.90	$107.28	$150.19