Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $136.09 / $196.07	Facility		$103.71	$136.09	$196.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $154.24 / $267.74	Professional		$107.16	$154.24	$267.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $133.55 / $210.66	Professional		$115.95	$133.55	$210.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.02 / $467.77 / $870.05	Facility		$199.02	$467.77	$870.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $233.03 / $392.47	Professional		$110.29	$233.03	$392.47
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $133.33 / $172.28 / $300.49	Professional		$133.33	$172.28	$300.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $145.19 / $145.19	Facility		$145.19	$145.19	$145.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.41 / $159.41 / $159.41	Facility		$159.41	$159.41	$159.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $189.81 / $316.67	Professional		$124.36	$189.81	$316.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.89 / $681.03 / $681.03	Facility		$300.89	$681.03	$681.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.75 / $1,010.75 / $1,010.75	Professional		$1,010.75	$1,010.75	$1,010.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $188.60 / $303.87	Facility		$140.00	$188.60	$303.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $186.97 / $375.28	Professional		$130.41	$186.97	$375.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $139.62 / $186.91	Professional		$118.68	$139.62	$186.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $185.14 / $313.75	Facility		$136.18	$185.14	$313.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $203.61 / $379.04	Professional		$131.94	$203.61	$379.04
United Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $179.18 / $268.24	Professional		$129.65	$179.18	$268.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $130.41 / $182.57	Professional		$113.46	$130.41	$182.57