Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $97.61 / $180.60	Facility		$69.48	$97.61	$180.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $95.23 / $174.86	Professional		$65.27	$95.23	$174.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $115.09 / $151.04	Professional		$98.67	$115.09	$151.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $260.66 / $397.31	Facility		$90.06	$260.66	$397.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $93.46 / $126.11	Professional		$66.03	$93.46	$126.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $119.12 / $162.56	Professional		$82.61	$119.12	$162.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $118.33 / $118.33	Facility		$118.09	$118.33	$118.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $118.96 / $193.25	Professional		$78.95	$118.96	$193.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.93 / $405.70 / $405.70	Facility		$373.93	$405.70	$405.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $526.12 / $743.11 / $743.11	Professional		$526.12	$743.11	$743.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $106.48 / $183.49	Facility		$70.37	$106.48	$183.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $148.61 / $207.86	Professional		$101.87	$148.61	$207.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $107.63 / $138.03	Professional		$78.48	$107.63	$138.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $106.67 / $184.50	Facility		$70.37	$106.67	$184.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $128.93 / $230.77	Professional		$82.05	$128.93	$230.77
United Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $123.43 / $181.53	Professional		$92.17	$123.43	$181.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $115.65 / $156.94	Professional		$98.56	$115.65	$156.94