Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $135.85 / $147.16	Facility		$130.19	$135.85	$147.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.71 / $112.62 / $314.56	Professional		$96.71	$112.62	$314.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $115.61 / $429.00	Professional		$113.21	$115.61	$429.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $111.54 / $128.13	Professional		$89.32	$111.54	$128.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $159.54 / $396.24	Professional		$124.53	$159.54	$396.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.39 / $104.39 / $112.08	Facility		$104.39	$104.39	$112.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $149.16 / $252.86	Professional		$108.05	$149.16	$252.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.35 / $538.90 / $582.29	Facility		$263.35	$538.90	$582.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.00 / $1,082.00 / $1,082.00	Professional		$1,082.00	$1,082.00	$1,082.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.81 / $132.87 / $239.77	Facility		$97.81	$132.87	$239.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $166.97 / $214.18	Professional		$132.41	$166.97	$214.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $141.51 / $220.66	Professional		$109.81	$141.51	$220.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.81 / $133.38 / $268.43	Facility		$97.81	$133.38	$268.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $162.11 / $295.57	Professional		$115.14	$162.11	$295.57
United Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $267.20 / $267.20	Facility		$138.90	$267.20	$267.20
United Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $133.38 / $199.13	Professional		$99.12	$133.38	$199.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $115.48 / $158.49	Professional		$98.28	$115.48	$158.49