Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $86.10 / $158.28	Facility		$61.34	$86.10	$158.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $85.50 / $175.27	Professional		$58.64	$85.50	$175.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $98.32 / $113.59	Professional		$63.90	$98.32	$113.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $104.01 / $280.74	Facility		$78.20	$104.01	$280.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $82.72 / $111.58	Professional		$58.53	$82.72	$111.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $108.50 / $140.50	Professional		$77.48	$108.50	$140.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $79.59 / $103.85	Facility		$79.59	$79.59	$103.85
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 / $104.70 / $169.53	Professional		$69.65	$104.70	$169.53
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 / $655.29 / $655.29	Professional		$464.35	$655.29	$655.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.07 / $92.04 / $155.18	Facility		$62.07	$92.04	$155.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $126.55 / $180.71	Professional		$89.49	$126.55	$180.71
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 $62.07 / $92.10 / $162.11	Facility		$62.07	$92.10	$162.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $113.33 / $202.53	Professional		$72.25	$113.33	$202.53
United Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $106.39 / $159.51	Professional		$80.73	$106.39	$159.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $101.42 / $137.65	Professional		$86.41	$101.42	$137.65