Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.17 / $101.45 / $147.87	Facility		$77.17	$101.45	$147.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $112.27 / $202.73	Professional		$73.06	$112.27	$202.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $89.12 / $109.26	Professional		$78.04	$89.12	$109.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $279.32 / $523.60	Facility		$115.36	$279.32	$523.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $76.43 / $92.94	Professional		$61.20	$76.43	$92.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $108.11 / $243.00	Professional		$83.50	$108.11	$243.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $95.51 / $95.51	Facility		$73.53	$95.51	$95.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.91 / $86.91 / $86.91	Facility		$86.91	$86.91	$86.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $113.73 / $195.79	Professional		$74.13	$113.73	$195.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.16 / $400.05 / $400.05	Facility		$178.16	$400.05	$400.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $613.55 / $613.55 / $613.55	Professional		$613.55	$613.55	$613.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $122.50 / $211.45	Facility		$77.06	$122.50	$211.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $114.80 / $276.86	Professional		$87.53	$114.80	$276.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $87.59 / $147.19	Professional		$73.73	$87.59	$147.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $121.99 / $211.45	Facility		$73.16	$121.99	$211.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $124.11 / $226.98	Professional		$78.62	$124.11	$226.98
United Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $104.80 / $158.19	Professional		$77.95	$104.80	$158.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $78.04 / $109.26	Professional		$67.91	$78.04	$109.26