Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.45 / $92.68 / $166.64	Facility		$44.45	$92.68	$166.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $94.81 / $140.81	Professional		$77.52	$94.81	$140.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $106.34 / $110.55	Professional		$104.30	$106.34	$110.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.23 / $262.29 / $474.67	Facility		$103.23	$262.29	$474.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $99.84 / $118.12	Professional		$75.76	$99.84	$118.12
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $131.28 / $176.23	Professional		$106.11	$131.28	$176.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $93.71 / $93.71	Facility		$93.71	$93.71	$93.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $127.81	Facility		$127.81	$127.81	$127.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $124.38 / $200.97	Professional		$90.19	$124.38	$200.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $431.45 / $467.26 / $467.26	Facility		$431.45	$467.26	$467.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $607.13 / $702.61 / $702.61	Professional		$607.13	$702.61	$702.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.64 / $116.30 / $200.18	Facility		$83.64	$116.30	$200.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $144.10 / $198.54	Professional		$115.24	$144.10	$198.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $102.69 / $133.75	Professional		$89.55	$102.69	$133.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.55 / $116.30 / $203.47	Facility		$83.55	$116.30	$203.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $131.05 / $246.06	Professional		$91.52	$131.05	$246.06
United Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $117.74 / $177.64	Professional		$87.95	$117.74	$177.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $106.95 / $146.02	Professional		$91.10	$106.95	$146.02