Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $204.17	Facility		$75.86	$102.33	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $309.03	Professional		$79.43	$128.82	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $162.18	Professional		$95.50	$120.23	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $295.12	Facility		$100.00	$120.23	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $128.82	Professional		$75.86	$100.00	$128.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $158.49	Professional		$83.18	$120.23	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $123.03	Facility		$117.49	$117.49	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Facility		$144.54	$144.54	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $223.87	Professional		$89.13	$128.82	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $776.25	Professional		$128.82	$151.36	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $213.80	Facility		$79.43	$123.03	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $229.09	Professional		$77.62	$109.65	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $74.13 / $95.50	Professional		$30.20	$74.13	$95.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $194.98 / $204.17	Facility		$54.95	$194.98	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $288.40	Professional		$114.82	$181.97	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $208.93	Facility		$79.43	$123.03	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $245.47	Professional		$89.13	$131.83	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $134.90	Facility		$107.15	$107.15	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $169.82	Professional		$79.43	$112.20	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $141.25	Professional		$70.79	$125.89	$141.25