Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $165.63 / $250.98	Facility		$153.33	$165.63	$250.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $187.72 / $345.10	Professional		$148.57	$187.72	$345.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $169.09 / $246.24	Professional		$160.63	$169.09	$246.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $564.90 / $1,055.85	Facility		$240.34	$564.90	$1,055.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.63 / $159.85 / $200.79	Professional		$127.63	$159.85	$200.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $213.60 / $421.30	Professional		$176.06	$213.60	$421.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $189.74 / $189.74	Facility		$154.63	$189.74	$189.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.27 / $177.27 / $177.27	Facility		$177.27	$177.27	$177.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $231.18 / $391.58	Professional		$155.38	$231.18	$391.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $378.19 / $782.64 / $845.03	Facility		$378.19	$782.64	$845.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $235.93 / $1,215.07 / $1,215.07	Professional		$235.93	$1,215.07	$1,215.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.59 / $219.39 / $361.15	Facility		$163.59	$219.39	$361.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $241.72 / $702.31	Professional		$183.55	$241.72	$702.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.43 / $184.25 / $303.70	Professional		$155.43	$184.25	$303.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.68 / $217.48 / $365.81	Facility		$157.68	$217.48	$365.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.77 / $248.21 / $460.85	Professional		$164.77	$248.21	$460.85
United Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $213.75 / $319.76	Professional		$156.30	$213.75	$319.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $164.16 / $229.82	Professional		$142.72	$164.16	$229.82