Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.98 / $125.03 / $227.03	Facility		$95.98	$125.03	$227.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $127.10 / $248.06	Professional		$92.54	$127.10	$248.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $145.91 / $189.00	Professional		$103.60	$145.91	$189.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.51 / $163.47 / $446.82	Facility		$123.51	$163.47	$446.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $121.42 / $158.88	Professional		$93.65	$121.42	$158.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $160.51 / $218.88	Professional		$116.00	$160.51	$218.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $130.80 / $130.80 / $150.36	Facility		$130.80	$130.80	$150.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $178.15	Facility		$152.08	$152.08	$178.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $155.88 / $254.36	Professional		$108.16	$155.88	$254.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $513.16 / $555.89 / $555.89	Facility		$513.16	$555.89	$555.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $725.74 / $944.96 / $944.96	Professional		$725.74	$944.96	$944.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.74 / $141.15 / $235.76	Facility		$96.74	$141.15	$235.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $183.69 / $259.25	Professional		$131.00	$183.69	$259.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $336.88 / $599.39	Facility		$228.28	$336.88	$599.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.14 / $138.24 / $181.82	Professional		$107.14	$138.24	$181.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $141.34 / $239.94	Facility		$96.79	$141.34	$239.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $166.23 / $308.19	Professional		$111.53	$166.23	$308.19
United Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $156.63 / $234.95	Professional		$117.47	$156.63	$234.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.96 / $145.46 / $197.88	Professional		$123.96	$145.46	$197.88