Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $70.97 / $94.63	Facility		$55.17	$70.97	$94.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $80.15 / $164.84	Professional		$57.07	$80.15	$164.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $77.17 / $118.29	Professional		$71.12	$77.17	$118.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.22 / $201.77 / $377.04	Facility		$84.22	$201.77	$377.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $72.70 / $86.44	Professional		$58.22	$72.70	$86.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $97.55 / $192.33	Professional		$75.78	$97.55	$192.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $68.95 / $72.67	Facility		$68.95	$68.95	$72.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $64.95	Facility		$64.95	$64.95	$64.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $88.02 / $150.13	Professional		$66.68	$88.02	$150.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $385.75 / $385.75	Facility		$172.40	$385.75	$385.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $11.12 / $38.58 / $38.58	Facility	AS	$11.12	$38.58	$38.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $459.05 / $469.94	Professional		$101.14	$459.05	$469.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.79 / $87.09 / $138.35	Facility		$66.79	$87.09	$138.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $99.24 / $226.80	Professional		$67.26	$99.24	$226.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $83.95 / $138.47	Professional		$70.12	$83.95	$138.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.74 / $86.66 / $141.94	Facility		$62.74	$86.66	$141.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $95.39 / $180.12	Professional		$70.38	$95.39	$180.12
United Facility/Professional Professional Modifier Low / Median / High Price $57.89 / $77.30 / $114.24	Professional		$57.89	$77.30	$114.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $74.92 / $104.89	Professional		$65.15	$74.92	$104.89