Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.52 / $111.32 / $202.85	Facility		$82.52	$111.32	$202.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $107.98 / $198.84	Professional		$78.64	$107.98	$198.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $126.09 / $148.06	Professional		$107.18	$126.09	$148.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.26 / $317.60 / $464.67	Facility		$89.26	$317.60	$464.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $105.47 / $141.96	Professional		$77.58	$105.47	$141.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $136.65 / $181.82	Professional		$98.57	$136.65	$181.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $133.52 / $133.76 / $133.76	Facility		$133.52	$133.76	$133.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $135.94 / $220.93	Professional		$92.15	$135.94	$220.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $442.03 / $478.90 / $478.90	Facility		$442.03	$478.90	$478.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $623.77 / $842.92 / $842.92	Professional		$623.77	$842.92	$842.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $121.39 / $205.46	Facility		$81.59	$121.39	$205.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $165.29 / $231.53	Professional		$118.06	$165.29	$231.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $121.44 / $160.56	Professional		$92.77	$121.44	$160.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.64 / $121.44 / $208.67	Facility		$81.64	$121.44	$208.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $145.87 / $265.88	Professional		$95.74	$145.87	$265.88
United Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $139.66 / $207.36	Professional		$104.06	$139.66	$207.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $129.88 / $176.53	Professional		$110.70	$129.88	$176.53