Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $166.18 / $265.19	Facility		$56.25	$166.18	$265.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $75.05 / $111.52	Professional		$61.38	$75.05	$111.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $66.23 / $88.87	Professional		$59.66	$66.23	$88.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $222.01 / $398.81	Facility		$90.28	$222.01	$398.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $70.27 / $118.16	Professional		$59.96	$70.27	$118.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $170.95 / $170.95 / $260.70	Facility		$170.95	$170.95	$260.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $105.20 / $160.19	Professional		$71.30	$105.20	$160.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $143.82 / $143.82	Facility		$70.38	$143.82	$143.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $88.09 / $140.96	Professional		$69.39	$88.09	$140.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.20 / $352.69 / $352.69	Facility		$173.20	$352.69	$352.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $468.55 / $468.55 / $600.90	Professional		$468.55	$468.55	$600.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $80.65 / $159.66	Facility		$66.64	$80.65	$159.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $113.86 / $138.76	Professional		$71.16	$113.86	$138.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $81.83 / $139.32	Professional		$69.81	$81.83	$139.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.66 / $81.01 / $170.82	Facility		$66.66	$81.01	$170.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $88.68 / $160.00	Professional		$69.39	$88.68	$160.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $88.13 / $133.37	Professional		$62.20	$88.13	$133.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $71.22 / $98.18	Professional		$60.73	$71.22	$98.18