Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $92.16 / $129.63	Facility		$79.31	$92.16	$129.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $108.50 / $236.50	Professional		$79.31	$108.50	$236.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $117.29 / $234.80	Professional		$102.45	$117.29	$234.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.99 / $281.93 / $529.35	Facility		$107.99	$281.93	$529.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $109.37 / $127.14	Professional		$87.58	$109.37	$127.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $297.87 / $337.67	Facility		$99.96	$297.87	$337.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $145.35 / $285.63	Professional		$111.81	$145.35	$285.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.14 / $99.14 / $109.42	Facility		$99.14	$99.14	$109.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.91 / $92.91 / $92.91	Facility		$92.91	$92.91	$92.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $129.29 / $212.76	Professional		$97.63	$129.29	$212.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $258.43 / $704.00 / $704.00	Facility		$258.43	$704.00	$704.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $688.14 / $707.45	Professional		$145.58	$688.14	$707.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.78 / $120.57 / $186.84	Facility		$94.78	$120.57	$186.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $148.02 / $350.00	Professional		$95.38	$148.02	$350.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $125.56 / $208.27	Professional		$106.35	$125.56	$208.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.21 / $119.96 / $189.98	Facility		$90.21	$119.96	$189.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $141.04 / $262.47	Professional		$102.86	$141.04	$262.47
United Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $111.41 / $164.63	Professional		$82.02	$111.41	$164.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $111.81 / $156.53	Professional		$97.18	$111.81	$156.53