Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.73 / $147.03 / $227.99	Facility		$125.73	$147.03	$227.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $192.37 / $270.42	Professional		$132.07	$192.37	$270.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $207.64 / $327.00	Professional		$170.13	$207.64	$327.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.57 / $584.46 / $961.67	Facility		$196.57	$584.46	$961.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.85 / $253.55 / $475.40	Professional		$167.85	$253.55	$475.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $227.99 / $309.76	Professional		$173.60	$227.99	$309.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $252.95 / $252.95 / $252.95	Facility		$252.95	$252.95	$252.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.01 / $241.37 / $388.68	Professional		$172.01	$241.37	$388.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $809.87 / $876.85 / $876.85	Facility		$809.87	$876.85	$876.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,155.58 / $1,355.26 / $1,355.26	Professional		$1,155.58	$1,355.26	$1,355.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.51 / $233.44 / $351.53	Facility		$168.51	$233.44	$351.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.34 / $276.88 / $377.23	Professional		$213.34	$276.88	$377.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $249.08 / $459.80	Professional		$120.30	$249.08	$459.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $233.61 / $363.29	Facility		$168.47	$233.61	$363.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $253.31 / $476.15	Professional		$172.70	$253.31	$476.15
United Facility/Professional Professional Modifier Low / Median / High Price $172.42 / $238.02 / $359.59	Professional		$172.42	$238.02	$359.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $203.30 / $277.55	Professional		$173.09	$203.30	$277.55