Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $208.93	Facility		$117.49	$138.04	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $371.54	Professional		$134.90	$199.53	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $323.59	Professional		$169.82	$204.17	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $489.78 / $977.24	Facility		$245.47	$489.78	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $239.88	Professional		$141.25	$186.21	$239.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $354.81	Professional		$162.18	$229.09	$354.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $398.11	Professional		$177.83	$245.47	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $870.96 / $1,348.96	Professional		$245.47	$870.96	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $407.38	Facility		$165.96	$239.88	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $346.74	Professional		$138.04	$199.53	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $194.98	Professional		$112.20	$162.18	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $478.63	Professional		$104.71	$251.19	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $245.47 / $407.38	Facility		$169.82	$245.47	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $446.68	Professional		$173.78	$245.47	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $234.42 / $281.84	Facility		$125.89	$234.42	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $331.13	Professional		$162.18	$218.78	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $229.09	Professional		$138.04	$204.17	$229.09