Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $61.30 / $107.82	Facility		$57.95	$61.30	$107.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $66.31 / $238.02	Professional		$57.95	$66.31	$238.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $81.66 / $120.13	Professional		$68.05	$81.66	$120.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.86 / $210.10 / $388.11	Facility		$87.86	$210.10	$388.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $67.62 / $77.55	Professional		$55.72	$67.62	$77.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $95.39 / $141.00	Professional		$83.28	$95.39	$141.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $62.65 / $67.37	Facility		$62.65	$62.65	$67.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $90.13 / $152.21	Professional		$64.70	$90.13	$152.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.15 / $323.95 / $349.84	Facility		$158.15	$323.95	$349.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $649.20 / $649.20 / $649.20	Professional		$649.20	$649.20	$649.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $81.66 / $133.78	Facility		$58.54	$81.66	$133.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $89.99 / $128.75	Professional		$68.05	$89.99	$128.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $94.28 / $125.87	Professional		$69.43	$94.28	$125.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $81.66 / $137.93	Facility		$58.78	$81.66	$137.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $97.28 / $180.60	Professional		$68.95	$97.28	$180.60
United Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $79.95 / $115.75	Professional		$57.46	$79.95	$115.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $68.05 / $95.27	Professional		$59.08	$68.05	$95.27