Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $93.95 / $174.11	Facility		$65.54	$93.95	$174.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $91.57 / $158.26	Professional		$63.73	$91.57	$158.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $111.41 / $130.51	Professional		$91.77	$111.41	$130.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.45 / $100.33 / $299.74	Facility		$84.45	$100.33	$299.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $88.14 / $121.42	Professional		$62.11	$88.14	$121.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $124.94 / $156.54	Professional		$104.20	$124.94	$156.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.03 / $105.03 / $113.48	Facility		$105.03	$105.03	$113.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $115.03 / $186.50	Professional		$74.45	$115.03	$186.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $352.73 / $382.33 / $382.33	Facility		$352.73	$382.33	$382.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $496.07 / $715.23 / $715.23	Professional		$496.07	$715.23	$715.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.51 / $104.19 / $174.56	Facility		$67.51	$104.19	$174.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $140.19 / $200.29	Professional		$96.10	$140.19	$200.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $102.56 / $130.63	Professional		$73.61	$102.56	$130.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.43 / $104.22 / $174.56	Facility		$67.43	$104.22	$174.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $124.02 / $222.90	Professional		$78.26	$124.02	$222.90
United Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $118.37 / $177.67	Professional		$88.78	$118.37	$177.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $111.41 / $151.13	Professional		$94.97	$111.41	$151.13