Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $86.38 / $158.28	Facility		$61.34	$86.38	$158.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $85.85 / $171.86	Professional		$57.59	$85.85	$171.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $101.81 / $113.24	Professional		$84.53	$101.81	$113.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $100.10 / $151.87	Facility		$78.20	$100.10	$151.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $82.82 / $111.88	Professional		$58.36	$82.82	$111.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $111.99 / $144.83	Professional		$80.00	$111.99	$144.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $79.59 / $104.19	Facility		$79.59	$79.59	$104.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $104.72 / $170.09	Professional		$69.65	$104.72	$170.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $328.49 / $356.87 / $356.87	Facility		$328.49	$356.87	$356.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $657.47 / $657.47	Professional		$464.35	$657.47	$657.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $92.11 / $155.18	Facility		$62.00	$92.11	$155.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $126.55 / $182.23	Professional		$90.15	$126.55	$182.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $93.40 / $121.26	Professional		$68.53	$93.40	$121.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.78 / $92.22 / $161.66	Facility		$61.78	$92.22	$161.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $113.47 / $203.44	Professional		$72.39	$113.47	$203.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $108.63 / $162.19	Professional		$81.36	$108.63	$162.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $101.42 / $137.65	Professional		$86.41	$101.42	$137.65