Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $58.79 / $113.28	Facility		$45.14	$58.79	$113.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $83.79 / $138.34	Professional		$43.96	$83.79	$138.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $86.40 / $123.50	Professional		$70.37	$86.40	$123.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $210.07 / $345.66	Facility		$70.66	$210.07	$345.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $96.67 / $190.46	Professional		$58.94	$96.67	$190.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $87.96 / $110.73	Professional		$69.70	$87.96	$110.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.80 / $125.80 / $125.80	Facility		$125.80	$125.80	$125.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Facility		$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $92.13 / $147.72	Professional		$56.33	$92.13	$147.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $249.77 / $272.83 / $272.83	Facility		$249.77	$272.83	$272.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $414.94 / $542.94 / $554.37	Professional		$414.94	$542.94	$554.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $91.31 / $147.19	Facility		$53.63	$91.31	$147.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $97.82 / $137.10	Professional		$69.38	$97.82	$137.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $99.79 / $188.10	Professional		$57.75	$99.79	$188.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $91.37 / $149.16	Facility		$53.58	$91.37	$149.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $96.88 / $175.05	Professional		$56.88	$96.88	$175.05
United Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $94.42 / $143.85	Professional		$69.02	$94.42	$143.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $72.58 / $98.52	Professional		$61.84	$72.58	$98.52