Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $94.24 / $172.94	Facility		$69.48	$94.24	$172.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $93.76 / $183.14	Professional		$66.45	$93.76	$183.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $108.99 / $173.55	Professional		$91.40	$108.99	$173.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.87 / $144.44 / $340.80	Facility		$94.87	$144.44	$340.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $90.21 / $121.62	Professional		$66.05	$90.21	$121.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $86.34 / $118.82 / $155.06	Professional		$86.34	$118.82	$155.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $112.40 / $114.06	Facility		$112.40	$112.40	$114.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $116.26 / $185.37	Professional		$78.95	$116.26	$185.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.93 / $405.70 / $405.70	Facility		$373.93	$405.70	$405.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $526.12 / $717.08 / $717.08	Professional		$526.12	$717.08	$717.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $103.88 / $174.42	Facility		$70.37	$103.88	$174.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $142.46 / $197.47	Professional		$99.88	$142.46	$197.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $102.56 / $136.58	Professional		$77.95	$102.56	$136.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $104.09 / $177.82	Facility		$70.19	$104.09	$177.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $124.42 / $226.32	Professional		$82.05	$124.42	$226.32
United Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $118.57 / $175.08	Professional		$88.71	$118.57	$175.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $110.81 / $150.54	Professional		$94.42	$110.81	$150.54