Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $100.72 / $152.04	Facility		$46.26	$100.72	$152.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $113.53 / $219.13	Professional		$80.59	$113.53	$219.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $133.03 / $199.04	Professional		$114.16	$133.03	$199.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $278.16 / $420.07	Facility		$91.34	$278.16	$420.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $105.19 / $142.56	Professional		$78.81	$105.19	$142.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $137.53 / $182.24	Professional		$102.05	$137.53	$182.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $93.72 / $133.86	Facility		$93.72	$93.72	$133.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $137.30 / $222.19	Professional		$93.08	$137.30	$222.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $442.03 / $478.90 / $478.90	Facility		$442.03	$478.90	$478.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $623.77 / $845.09 / $845.09	Professional		$623.77	$845.09	$845.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.06 / $123.54 / $207.62	Facility		$85.06	$123.54	$207.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $165.31 / $232.69	Professional		$118.06	$165.31	$232.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $120.52 / $160.56	Professional		$92.29	$120.52	$160.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.06 / $123.70 / $213.44	Facility		$85.06	$123.70	$213.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $146.72 / $272.17	Professional		$97.73	$146.72	$272.17
United Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $139.66 / $212.26	Professional		$104.06	$139.66	$212.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $130.53 / $177.38	Professional		$111.26	$130.53	$177.38