Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $140.15 / $203.27	Facility		$69.75	$140.15	$203.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $105.54 / $240.28	Professional		$75.56	$105.54	$240.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $117.66 / $190.45	Professional		$83.25	$117.66	$190.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.34 / $98.34 / $286.38	Facility		$98.34	$98.34	$286.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $99.25 / $132.09	Professional		$76.45	$99.25	$132.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $129.43 / $179.89	Professional		$96.57	$129.43	$179.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.60 / $117.60 / $124.23	Facility		$117.60	$117.60	$124.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $148.19	Facility		$124.66	$124.66	$148.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $128.38 / $205.15	Professional		$88.56	$128.38	$205.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $395.98 / $455.57 / $455.57	Facility		$395.98	$455.57	$455.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $785.23 / $785.23	Professional		$592.04	$785.23	$785.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $114.80 / $194.38	Facility		$79.48	$114.80	$194.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $151.22 / $213.20	Professional		$107.29	$151.22	$213.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $62.48 / $190.32 / $196.98	Facility		$62.48	$190.32	$196.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $115.03 / $149.69	Professional		$87.95	$115.03	$149.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $115.39 / $195.59	Facility		$79.48	$115.39	$195.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $136.96 / $252.00	Professional		$92.25	$136.96	$252.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $128.52 / $192.78	Professional		$96.77	$128.52	$192.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $121.13 / $164.72	Professional		$103.25	$121.13	$164.72