Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.17 / $107.58 / $197.34	Facility		$79.17	$107.58	$197.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $108.41 / $228.06	Professional		$76.41	$108.41	$228.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $126.74 / $185.90	Professional		$89.60	$126.74	$185.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.13 / $171.09 / $383.72	Facility		$95.13	$171.09	$383.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $102.53 / $137.99	Professional		$77.26	$102.53	$137.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $138.97 / $188.54	Professional		$97.86	$138.97	$188.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $121.60 / $129.34	Facility		$121.60	$121.60	$129.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $154.59	Facility		$125.60	$125.60	$154.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $131.74 / $213.77	Professional		$89.21	$131.74	$213.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $423.87 / $458.76 / $458.76	Facility		$423.87	$458.76	$458.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $817.69 / $817.69	Professional		$598.54	$817.69	$817.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $118.28 / $200.50	Facility		$79.92	$118.28	$200.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $158.50 / $220.76	Professional		$113.21	$158.50	$220.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $118.66 / $155.99	Professional		$88.96	$118.66	$155.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $118.38 / $202.66	Facility		$79.92	$118.38	$202.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $142.09 / $255.76	Professional		$92.92	$142.09	$255.76
United Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $135.34 / $200.88	Professional		$101.51	$135.34	$200.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $126.30 / $171.61	Professional		$107.67	$126.30	$171.61