Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $81.31 / $148.69	Facility		$56.27	$81.31	$148.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $78.54 / $172.37	Professional		$52.74	$78.54	$172.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $95.65 / $124.76	Professional		$58.40	$95.65	$124.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.49 / $122.03 / $263.32	Facility		$88.49	$122.03	$263.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $75.81 / $104.66	Professional		$53.16	$75.81	$104.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $101.97 / $133.07	Professional		$70.00	$101.97	$133.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $96.16 / $158.83	Professional		$62.94	$96.16	$158.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $299.75 / $325.80 / $325.80	Facility		$299.75	$325.80	$325.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $425.70 / $618.82 / $618.82	Professional		$425.70	$618.82	$618.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $84.44 / $142.91	Facility		$55.69	$84.44	$142.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $118.88 / $169.75	Professional		$83.27	$118.88	$169.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $86.86 / $111.66	Professional		$62.55	$86.86	$111.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $84.70 / $149.69	Facility		$55.69	$84.70	$149.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $104.69 / $189.04	Professional		$65.64	$104.69	$189.04
United Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $101.16 / $149.84	Professional		$75.87	$101.16	$149.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $95.27 / $129.19	Professional		$81.16	$95.27	$129.19