Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $83.18 / $120.23	Facility		$79.43	$83.18	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $281.84	Professional		$75.86	$114.82	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $154.88	Professional		$95.50	$112.20	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $288.40 / $524.81	Facility		$128.82	$288.40	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $125.89	Professional		$85.11	$104.71	$125.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $281.84	Professional		$112.20	$144.54	$281.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $109.65	Facility		$100.00	$100.00	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $218.78	Professional		$97.72	$128.82	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $691.83 / $691.83	Professional		$123.03	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $208.93	Facility		$85.11	$123.03	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $229.09	Professional		$79.43	$109.65	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $389.05	Professional		$109.65	$199.53	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $125.89 / $213.80	Facility		$97.72	$125.89	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $245.47	Professional		$100.00	$134.90	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $177.83	Professional		$83.18	$112.20	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $131.83	Professional		$104.71	$109.65	$131.83