Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.83 / $141.16 / $419.95	Facility		$54.83	$141.16	$419.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $68.90 / $119.35	Professional		$47.74	$68.90	$119.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $69.56 / $69.56	Professional		$69.56	$69.56	$69.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.49 / $214.50 / $424.54	Facility		$86.49	$214.50	$424.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $80.31 / $80.31	Professional		$71.16	$80.31	$80.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $109.64 / $180.20 / $213.38	Facility		$109.64	$180.20	$213.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $105.00 / $150.56	Professional		$90.00	$105.00	$150.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $92.04 / $96.28	Facility		$92.04	$92.04	$96.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $74.69 / $126.62	Professional		$54.44	$74.69	$126.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $225.88 / $458.69 / $516.79	Facility		$225.88	$458.69	$516.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $633.66 / $824.10	Professional		$106.78	$633.66	$824.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.40 / $100.11 / $264.52	Facility		$61.40	$100.11	$264.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $122.51 / $168.00	Professional		$89.99	$122.51	$168.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $159.00 / $211.00	Facility		$75.00	$159.00	$211.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $100.60 / $173.91	Professional		$75.45	$100.60	$173.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $88.85 / $135.51	Facility		$55.74	$88.85	$135.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $75.63 / $131.57	Professional		$55.10	$75.63	$131.57
United Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $74.55 / $99.37	Professional		$64.87	$74.55	$99.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $95.34 / $99.38	Professional		$80.00	$95.34	$99.38