Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $173.78	Facility		$114.82	$114.82	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $478.63	Professional		$112.20	$154.88	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $257.04	Professional		$112.20	$147.91	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $446.68 / $776.25	Facility		$199.53	$446.68	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $141.25	Professional		$102.33	$123.03	$141.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $251.19	Professional		$134.90	$169.82	$251.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $131.83	Facility		$123.03	$123.03	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $309.03	Professional		$128.82	$177.83	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $158.49 / $316.23	Facility		$114.82	$158.49	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $354.81	Professional		$112.20	$144.54	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $288.40	Professional		$128.82	$229.09	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $309.03	Facility		$117.49	$169.82	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $346.74	Professional		$125.89	$181.97	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $229.09	Professional		$120.23	$154.88	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $151.36	Professional		$107.15	$125.89	$151.36