Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.94 / $102.58 / $281.39	Facility		$75.94	$102.58	$281.39
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $241.13 / $270.57 / $804.60	Facility	25	$241.13	$270.57	$804.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $101.27 / $245.69	Professional		$66.48	$101.27	$245.69
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.48 / $125.69 / $307.29	Professional	25	$66.48	$125.69	$307.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $105.80 / $134.41	Professional		$66.03	$105.80	$134.41
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $92.05 / $109.30 / $137.54	Professional	25	$92.05	$109.30	$137.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $78.89 / $261.88	Facility		$64.31	$78.89	$261.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $86.00 / $113.15	Professional		$65.59	$86.00	$113.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $169.28 / $169.28 / $169.28	Facility		$169.28	$169.28	$169.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $116.38 / $178.52	Professional		$85.00	$116.38	$178.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $79.18 / $105.08	Facility		$70.66	$79.18	$105.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $155.00 / $235.00	Facility		$120.00	$155.00	$235.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $111.00 / $179.43	Professional		$77.47	$111.00	$179.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.36 / $370.89 / $399.71	Facility		$111.36	$370.89	$399.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $514.87 / $699.27 / $699.27	Professional		$514.87	$699.27	$699.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $106.15 / $164.26	Facility		$69.04	$106.15	$164.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $127.87 / $194.58	Professional		$94.71	$127.87	$194.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $96.07 / $531.87	Facility		$92.42	$96.07	$531.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $111.90 / $190.70	Professional		$73.83	$111.90	$190.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $107.01 / $168.13	Facility		$69.04	$107.01	$168.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $115.97 / $217.75	Professional		$75.40	$115.97	$217.75
United Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $109.80 / $164.91	Professional		$82.35	$109.80	$164.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $108.97 / $148.12	Professional		$93.04	$108.97	$148.12