Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $141.25	Facility		$95.50	$95.50	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $363.08	Professional		$91.20	$131.83	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $177.83	Professional		$100.00	$109.65	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $117.49	Professional		$85.11	$102.33	$117.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $213.80	Professional		$114.82	$141.25	$213.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $107.15	Facility		$100.00	$100.00	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $257.04	Professional		$104.71	$144.54	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,071.52 / $1,071.52	Professional		$134.90	$1,071.52	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $257.04	Facility		$95.50	$128.82	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $295.12	Professional		$91.20	$117.49	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $234.42	Professional		$104.71	$186.21	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $251.19	Facility		$95.50	$141.25	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $281.84	Professional		$104.71	$147.91	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $190.55	Professional		$97.72	$128.82	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $123.03	Professional		$79.43	$104.71	$123.03