Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $77.13 / $129.22	Facility		$55.97	$77.13	$129.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $72.58 / $107.89	Professional		$58.43	$72.58	$107.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $84.63 / $85.67	Professional		$68.70	$84.63	$85.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $189.47 / $293.67	Facility		$71.81	$189.47	$293.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $76.73 / $93.77	Professional		$60.69	$76.73	$93.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $94.54 / $127.86	Professional		$75.44	$94.54	$127.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Facility		$94.69	$94.69	$94.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $97.05 / $157.93	Professional		$68.03	$97.05	$157.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $319.41 / $346.80 / $346.80	Facility		$319.41	$346.80	$346.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $451.48 / $546.96 / $546.96	Professional		$451.48	$546.96	$546.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.12 / $88.99 / $151.97	Facility		$64.12	$88.99	$151.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $111.79 / $150.50	Professional		$85.31	$111.79	$150.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $80.20 / $103.86	Professional		$66.33	$80.20	$103.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.12 / $89.02 / $156.05	Facility		$64.12	$89.02	$156.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $101.82 / $190.21	Professional		$70.20	$101.82	$190.21
United Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $91.31 / $138.33	Professional		$68.62	$91.31	$138.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $83.01 / $113.15	Professional		$70.68	$83.01	$113.15