Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $80.88 / $127.78	Facility		$63.52	$80.88	$127.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $106.45 / $145.31	Professional		$64.48	$106.45	$145.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $109.36 / $210.00	Professional		$83.55	$109.36	$210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $271.39 / $454.46	Facility		$64.52	$271.39	$454.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $138.00 / $260.75	Professional		$89.55	$138.00	$260.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $117.13 / $166.11	Professional		$88.77	$117.13	$166.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.80 / $107.80 / $107.80	Facility		$107.80	$107.80	$107.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $128.74 / $203.80	Professional		$86.75	$128.74	$203.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.13 / $431.16 / $431.16	Facility		$398.13	$431.16	$431.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $583.45 / $746.21 / $746.21	Professional		$583.45	$746.21	$746.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.23 / $124.60 / $195.55	Facility		$84.23	$124.60	$195.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $148.72 / $203.35	Professional		$110.59	$148.72	$203.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $136.97 / $319.73	Facility		$136.97	$136.97	$319.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $136.62 / $256.30	Professional		$105.00	$136.62	$256.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $125.13 / $201.04	Facility		$83.97	$125.13	$201.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $133.81 / $247.99	Professional		$90.18	$133.81	$247.99
United Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $130.55 / $199.36	Professional		$97.60	$130.55	$199.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $109.50 / $149.07	Professional		$93.31	$109.50	$149.07