Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $159.86 / $173.19	Facility		$153.19	$159.86	$173.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $125.79 / $340.86	Professional		$112.90	$125.79	$340.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $133.22 / $503.59	Professional		$129.02	$133.22	$503.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.18 / $449.50 / $744.06	Facility		$151.18	$449.50	$744.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $130.25 / $149.18	Professional		$104.00	$130.25	$149.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $180.71 / $226.83	Professional		$138.59	$180.71	$226.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $122.60 / $122.60 / $131.88	Facility		$122.60	$122.60	$131.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $174.30 / $294.63	Professional		$126.71	$174.30	$294.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.37 / $634.28 / $684.76	Facility		$309.37	$634.28	$684.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.50 / $1,352.50 / $1,352.50	Professional		$1,352.50	$1,352.50	$1,352.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.11 / $156.25 / $280.29	Facility		$114.11	$156.25	$280.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $196.52 / $252.09	Professional		$155.86	$196.52	$252.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.86 / $174.51 / $264.36	Professional		$131.86	$174.51	$264.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.11 / $156.41 / $314.94	Facility		$114.11	$156.41	$314.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $187.82 / $344.80	Professional		$135.02	$187.82	$344.80
United Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $190.91 / $654.38	Facility		$161.91	$190.91	$654.38
United Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $154.71 / $231.03	Professional		$115.74	$154.71	$231.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $135.87 / $186.51	Professional		$115.67	$135.87	$186.51