Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $113.16 / $172.94	Facility		$71.73	$113.16	$172.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $130.87 / $185.16	Professional		$74.08	$130.87	$185.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $98.78 / $122.59	Professional		$80.16	$98.78	$122.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.04 / $322.11 / $602.04	Facility		$137.04	$322.11	$602.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $160.44 / $270.24	Professional		$82.91	$160.44	$270.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $119.36 / $160.79	Professional		$96.45	$119.36	$160.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Facility		$112.00	$112.00	$112.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.89 / $110.89 / $110.89	Facility		$110.89	$110.89	$110.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $132.66 / $218.78	Professional		$89.90	$132.66	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $217.84 / $470.46 / $488.06	Facility		$217.84	$470.46	$488.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $699.89 / $699.89 / $699.89	Professional		$699.89	$699.89	$699.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.76 / $141.03 / $247.84	Facility		$99.76	$141.03	$247.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $138.29 / $226.14	Professional		$105.68	$138.29	$226.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $109.40 / $130.19	Professional		$85.26	$109.40	$130.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $140.37 / $253.74	Facility		$100.00	$140.37	$253.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.01 / $142.19 / $262.76	Professional		$95.01	$142.19	$262.76
United Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $124.28 / $185.25	Professional		$89.05	$124.28	$185.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $94.30 / $132.02	Professional		$81.99	$94.30	$132.02