Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $97.18 / $178.10	Facility		$71.45	$97.18	$178.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $97.18 / $215.93	Professional		$69.22	$97.18	$215.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $113.97 / $176.80	Professional		$83.25	$113.97	$176.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $122.58 / $334.63	Facility		$78.09	$122.58	$334.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $92.36 / $124.51	Professional		$70.61	$92.36	$124.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $119.27 / $163.02	Professional		$86.58	$119.27	$163.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $112.40 / $116.52	Facility		$112.40	$112.40	$116.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $139.41	Facility		$114.80	$114.80	$139.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $118.92 / $189.81	Professional		$81.45	$118.92	$189.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $372.49 / $419.47 / $419.47	Facility		$372.49	$419.47	$419.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $541.15 / $732.11 / $732.11	Professional		$541.15	$732.11	$732.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $105.06 / $179.42	Facility		$71.50	$105.06	$179.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $142.33 / $199.26	Professional		$99.87	$142.33	$199.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $43.06 / $84.95	Facility		$43.06	$43.06	$84.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $105.40 / $140.59	Professional		$80.98	$105.40	$140.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $105.57 / $182.07	Facility		$71.50	$105.57	$182.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $127.58 / $233.68	Professional		$84.39	$127.58	$233.68
United Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $121.09 / $178.98	Professional		$90.82	$121.09	$178.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $114.00 / $154.94	Professional		$97.18	$114.00	$154.94