Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.66 / $70.00 / $103.71	Facility		$55.66	$70.00	$103.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $79.13 / $167.98	Professional		$57.06	$79.13	$167.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $78.90 / $148.04	Professional		$71.45	$78.90	$148.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.86 / $204.16 / $377.14	Facility		$86.86	$204.16	$377.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $74.26 / $85.85	Professional		$59.46	$74.26	$85.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $96.52 / $197.85	Professional		$79.14	$96.52	$197.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.58 / $69.58 / $74.83	Facility		$69.58	$69.58	$74.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.25 / $66.25 / $66.25	Facility		$66.25	$66.25	$66.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $88.86 / $151.40	Professional		$68.97	$88.86	$151.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $399.62 / $399.62	Facility		$174.15	$399.62	$399.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $463.73 / $476.33	Professional		$109.93	$463.73	$476.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.97 / $90.66 / $139.97	Facility		$69.97	$90.66	$139.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $103.84 / $282.39	Professional		$67.40	$103.84	$282.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $86.57 / $143.04	Professional		$74.38	$86.57	$143.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $89.79 / $141.94	Facility		$67.48	$89.79	$141.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $97.41 / $183.04	Professional		$73.09	$97.41	$183.04
United Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $78.06 / $117.30	Professional		$56.15	$78.06	$117.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $76.59 / $107.24	Professional		$66.81	$76.59	$107.24