Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $58.88 / $104.71	Facility		$56.23	$58.88	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $199.53	Professional		$57.54	$83.18	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $104.71	Professional		$64.57	$75.86	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $204.17 / $371.54	Facility		$91.20	$204.17	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $87.10	Professional		$58.88	$72.44	$87.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $229.09	Professional		$77.62	$102.33	$229.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $75.86	Facility		$72.44	$72.44	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $151.36	Professional		$67.61	$89.13	$151.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $467.74 / $467.74	Professional		$87.10	$467.74	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $144.54	Facility		$64.57	$91.20	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $162.18	Professional		$57.54	$83.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $269.15	Professional		$75.86	$138.04	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $147.91	Facility		$70.79	$93.33	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $158.49	Professional		$70.79	$93.33	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $123.03	Professional		$58.88	$77.62	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $91.20	Professional		$72.44	$75.86	$91.20