Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $134.90	Facility		$60.26	$75.86	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $186.21	Professional		$67.61	$109.65	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $181.97	Professional		$85.11	$109.65	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $213.80 / $478.63	Facility		$54.95	$213.80	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $131.83	Professional		$70.79	$95.50	$131.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $173.78	Professional		$85.11	$114.82	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $208.93	Professional		$89.13	$131.83	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $131.83 / $213.80	Facility		$85.11	$131.83	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $186.21	Professional		$69.18	$114.82	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $81.28 / $100.00	Professional		$30.20	$81.28	$100.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $741.31	Facility		$39.81	$61.66	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $269.15	Professional		$104.71	$138.04	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $134.90 / $213.80	Facility		$85.11	$134.90	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $229.09	Professional		$87.10	$131.83	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $154.88	Facility		$64.57	$100.00	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $177.83	Professional		$83.18	$117.49	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $123.03	Professional		$67.61	$109.65	$123.03