Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $213.80	Facility		$81.28	$112.20	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $302.00	Professional		$83.18	$134.90	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $169.82	Professional		$107.15	$128.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $416.87	Facility		$134.90	$144.54	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $138.04	Professional		$79.43	$104.71	$138.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $169.82	Professional		$85.11	$125.89	$169.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $134.90	Facility		$93.33	$93.33	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $245.47	Professional		$97.72	$138.04	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $851.14	Professional		$138.04	$181.97	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $131.83 / $229.09	Facility		$85.11	$131.83	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $234.42	Professional		$81.28	$120.23	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $107.15	Professional		$60.26	$85.11	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $309.03	Professional		$95.50	$190.55	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $131.83 / $229.09	Facility		$85.11	$131.83	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $263.03	Professional		$95.50	$141.25	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $151.36	Facility		$117.49	$117.49	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $181.97	Professional		$85.11	$120.23	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $151.36	Professional		$74.13	$134.90	$151.36