Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.51 / $87.82 / $172.67	Facility		$81.51	$87.82	$172.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $99.76 / $205.04	Professional		$81.51	$99.76	$205.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.21 / $111.83 / $227.45	Professional		$105.21	$111.83	$227.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $273.19 / $538.98	Facility		$90.34	$273.19	$538.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $105.33 / $122.97	Professional		$84.34	$105.33	$122.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $140.80 / $277.50	Professional		$111.00	$140.80	$277.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $104.34 / $105.82	Facility		$104.34	$104.34	$105.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.98 / $95.98 / $95.98	Facility		$95.98	$95.98	$95.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $129.72 / $218.92	Professional		$99.64	$129.72	$218.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $247.06 / $517.75 / $564.82	Facility		$247.06	$517.75	$564.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $657.86 / $674.51	Professional		$151.63	$657.86	$674.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.65 / $125.20 / $192.58	Facility		$97.65	$125.20	$192.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $140.00 / $334.80	Professional		$97.31	$140.00	$334.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $122.27 / $201.52	Professional		$106.00	$122.27	$201.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $124.20 / $200.00	Facility		$95.31	$124.20	$200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $140.04 / $266.61	Professional		$102.89	$140.04	$266.61
United Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $114.44 / $175.32	Professional		$82.50	$114.44	$175.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $108.31 / $151.63	Professional		$94.42	$108.31	$151.63