Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $85.11 / $117.49	Facility		$81.28	$85.11	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $269.15	Professional		$75.86	$112.20	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $165.96	Professional		$91.20	$112.20	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $302.00 / $549.54	Facility		$131.83	$302.00	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $123.03	Professional		$83.18	$102.33	$123.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $275.42	Professional		$109.65	$144.54	$275.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $223.87	Professional		$100.00	$131.83	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $660.69 / $660.69	Professional		$120.23	$660.69	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $213.80	Facility		$87.10	$125.89	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $218.78	Professional		$81.28	$112.20	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $389.05	Professional		$109.65	$194.98	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $213.80	Facility		$97.72	$128.82	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $239.88	Professional		$100.00	$134.90	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $177.83	Professional		$85.11	$114.82	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $128.82	Professional		$104.71	$109.65	$128.82