Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.37 / $112.75 / $169.62	Facility		$104.37	$112.75	$169.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $137.19 / $277.43	Professional		$104.37	$137.19	$277.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $129.69 / $172.43	Professional		$121.30	$129.69	$172.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.76 / $379.77 / $708.34	Facility		$162.76	$379.77	$708.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $119.62 / $144.47	Professional		$95.79	$119.62	$144.47
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $160.10 / $335.23	Professional		$126.70	$160.10	$335.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $115.59 / $129.79 / $129.79	Facility		$115.59	$129.79	$129.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.48 / $121.48 / $121.48	Facility		$121.48	$121.48	$121.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $161.13 / $272.36	Professional		$116.59	$161.13	$272.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $282.95 / $587.34 / $634.03	Facility		$282.95	$587.34	$634.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $176.11 / $827.90 / $827.90	Professional		$176.11	$827.90	$827.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.80 / $155.91 / $246.43	Facility		$121.80	$155.91	$246.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.32 / $172.41 / $382.06	Professional		$126.32	$172.41	$382.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $138.37 / $228.96	Professional		$116.12	$138.37	$228.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $153.85 / $251.29	Facility		$115.70	$153.85	$251.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $175.16 / $323.39	Professional		$123.26	$175.16	$323.39
United Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $145.56 / $218.70	Professional		$105.60	$145.56	$218.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $123.15 / $172.41	Professional		$107.11	$123.15	$172.41