Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $75.86 / $173.78	Facility		$72.44	$75.86	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $295.12	Professional		$75.86	$131.83	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $165.96	Professional		$83.18	$97.72	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $323.59 / $588.84	Facility		$141.25	$323.59	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $162.18	Professional		$72.44	$95.50	$162.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $190.55	Professional		$95.50	$120.23	$190.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $229.09	Professional		$93.33	$134.90	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $144.54 / $234.42	Facility		$95.50	$144.54	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $257.04	Professional		$75.86	$134.90	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $83.18 / $97.72	Professional		$30.20	$83.18	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $208.93 / $281.84	Professional		$85.11	$208.93	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $245.47	Facility		$102.33	$147.91	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $234.42	Professional		$95.50	$138.04	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $194.98	Professional		$91.20	$125.89	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $120.23	Professional		$95.50	$100.00	$120.23