Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $91.20 / $173.78	Facility		$44.67	$91.20	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $173.78	Professional		$79.43	$102.33	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $114.82	Professional		$81.28	$100.00	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $257.04 / $512.86	Facility		$131.83	$257.04	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $112.20	Professional		$77.62	$95.50	$112.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $158.49	Professional		$93.33	$123.03	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $208.93	Professional		$91.20	$123.03	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $208.93	Facility		$83.18	$123.03	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $186.21	Professional		$79.43	$102.33	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $95.50	Professional		$30.20	$33.11	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $251.19	Professional		$104.71	$186.21	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $204.17	Facility		$83.18	$123.03	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $223.87	Professional		$89.13	$123.03	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $158.49	Facility		$134.90	$134.90	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $165.96	Professional		$85.11	$112.20	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $123.03	Professional		$79.43	$109.65	$123.03