Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.55 / $120.53 / $182.11	Facility		$101.55	$120.53	$182.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $152.87 / $216.96	Professional		$103.12	$152.87	$216.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $159.11 / $263.39	Professional		$128.99	$159.11	$263.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $436.23 / $730.51	Facility		$103.70	$436.23	$730.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.32 / $210.72 / $389.99	Professional		$129.32	$210.72	$389.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $172.16 / $232.35	Professional		$131.84	$172.16	$232.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $122.94 / $122.94	Facility		$122.94	$122.94	$122.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $180.00	Facility		$178.68	$178.68	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $194.61 / $307.69	Professional		$128.72	$194.61	$307.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $656.78 / $656.78	Facility		$604.00	$656.78	$656.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.45 / $1,111.43 / $1,111.43	Professional		$933.45	$1,111.43	$1,111.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.39 / $184.88 / $283.05	Facility		$127.39	$184.88	$283.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.78 / $219.73 / $293.95	Professional		$167.78	$219.73	$293.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $277.58 / $277.58 / $1,118.61	Facility		$277.58	$277.58	$1,118.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $204.34 / $376.70	Professional		$110.25	$204.34	$376.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $185.02 / $288.50	Facility		$127.26	$185.02	$288.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $204.07 / $374.51	Professional		$131.94	$204.07	$374.51
United Facility/Professional Professional Modifier Low / Median / High Price $141.56 / $193.99 / $291.08	Professional		$141.56	$193.99	$291.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $155.91 / $212.46	Professional		$132.79	$155.91	$212.46