Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $48.98 / $162.18	Facility		$46.77	$48.98	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $123.03 / $194.98	Professional		$52.48	$123.03	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $128.82	Professional		$56.23	$70.79	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $208.93 / $380.19	Facility		$91.20	$208.93	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $77.62	Professional		$56.23	$75.86	$77.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $151.36	Professional		$70.79	$85.11	$151.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $151.36	Professional		$66.07	$91.20	$151.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $107.15 / $177.83	Facility		$67.61	$107.15	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $125.89 / $208.93	Professional		$52.48	$125.89	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $85.11	Professional		$45.71	$64.57	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $138.04 / $177.83	Professional		$61.66	$138.04	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $109.65 / $190.55	Facility		$74.13	$109.65	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $162.18	Professional		$67.61	$91.20	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $128.82	Professional		$61.66	$81.28	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $85.11	Professional		$69.18	$70.79	$85.11