Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $165.96 / $263.03	Facility		$67.61	$165.96	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $302.00	Professional		$67.61	$81.28	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $141.25	Professional		$64.57	$77.62	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $223.87 / $398.11	Facility		$95.50	$223.87	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $117.49	Professional		$60.26	$70.79	$117.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $144.54 / $144.54	Facility		$70.79	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $151.36	Professional		$70.79	$89.13	$151.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $602.56	Professional		$467.74	$602.56	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $95.50 / $162.18	Facility		$67.61	$95.50	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $173.78	Professional		$67.61	$89.13	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $169.82	Professional		$74.13	$131.83	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $144.54	Facility		$67.61	$85.11	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $154.88	Professional		$70.79	$89.13	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $134.90	Professional		$63.10	$87.10	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $74.13	Professional		$69.18	$74.13	$74.13