Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $135.29 / $246.77	Facility		$102.99	$135.29	$246.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $134.50 / $243.74	Professional		$98.35	$134.50	$243.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.53 / $158.09 / $240.00	Professional		$130.53	$158.09	$240.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $174.91 / $480.07	Facility		$130.10	$174.91	$480.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.28 / $130.53 / $172.94	Professional		$100.28	$130.53	$172.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $182.78 / $226.19	Professional		$134.38	$182.78	$226.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.02 / $116.02 / $162.85	Facility		$116.02	$116.02	$162.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $169.31 / $275.63	Professional		$116.19	$169.31	$275.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $551.02 / $596.98 / $596.98	Facility		$551.02	$596.98	$596.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $778.92 / $1,021.95 / $1,021.95	Professional		$778.92	$1,021.95	$1,021.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.08 / $153.40 / $257.54	Facility		$104.08	$153.40	$257.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.12 / $205.21 / $284.13	Professional		$150.12	$205.21	$284.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $148.16 / $197.61	Professional		$115.04	$148.16	$197.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.08 / $153.47 / $258.26	Facility		$104.08	$153.47	$258.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $180.16 / $330.65	Professional		$121.03	$180.16	$330.65
United Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $170.34 / $252.72	Professional		$127.76	$170.34	$252.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $158.09 / $214.98	Professional		$134.72	$158.09	$214.98