Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $90.04 / $165.95	Facility		$61.34	$90.04	$165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $89.98 / $177.00	Professional		$58.64	$89.98	$177.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $102.90 / $126.00	Professional		$72.03	$102.90	$126.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $74.06 / $272.58	Facility		$49.27	$74.06	$272.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $83.47 / $116.38	Professional		$58.36	$83.47	$116.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $113.82 / $150.79	Professional		$80.98	$113.82	$150.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.58 / $108.58 / $108.58	Facility		$108.58	$108.58	$108.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $108.00 / $178.54	Professional		$69.65	$108.00	$178.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $328.49 / $356.87 / $356.87	Facility		$328.49	$356.87	$356.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $685.73 / $685.73	Professional		$464.35	$685.73	$685.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.13 / $96.57 / $163.46	Facility		$62.13	$96.57	$163.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $132.63 / $190.98	Professional		$91.25	$132.63	$190.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $97.20 / $123.82	Professional		$68.53	$97.20	$123.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.13 / $96.65 / $163.46	Facility		$62.13	$96.65	$163.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $116.86 / $210.09	Professional		$72.06	$116.86	$210.09
United Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $112.68 / $167.22	Professional		$84.60	$112.68	$167.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $106.27 / $144.06	Professional		$90.55	$106.27	$144.06