Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $85.11 / $169.82	Facility		$60.26	$85.11	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $239.88	Professional		$61.66	$97.72	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $131.83	Professional		$83.18	$102.33	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $162.18	Facility		$100.00	$100.00	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $107.15	Professional		$58.88	$81.28	$107.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $131.83	Professional		$66.07	$95.50	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $104.71	Facility		$79.43	$79.43	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $186.21	Professional		$70.79	$104.71	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $660.69	Professional		$107.15	$138.04	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $173.78	Facility		$63.10	$100.00	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $181.97	Professional		$60.26	$91.20	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $77.62 / $100.00	Professional		$30.20	$77.62	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $239.88	Professional		$75.86	$141.25	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $173.78	Facility		$63.10	$100.00	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $199.53	Professional		$69.18	$107.15	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $109.65	Facility		$83.18	$83.18	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $141.25	Professional		$63.10	$93.33	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $120.23	Professional		$53.70	$104.71	$120.23