Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $130.87 / $141.78	Facility		$125.42	$130.87	$141.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $106.38 / $291.68	Professional		$92.72	$106.38	$291.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $111.36 / $398.16	Professional		$109.06	$111.36	$398.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $107.50 / $123.49	Professional		$86.08	$107.50	$123.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $153.02 / $416.78	Professional		$117.17	$153.02	$416.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $100.40 / $107.97	Facility		$100.40	$100.40	$107.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $142.81 / $241.17	Professional		$103.83	$142.81	$241.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $253.38 / $519.25 / $560.79	Facility		$253.38	$519.25	$560.79
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 $93.76 / $127.93 / $225.10	Facility		$93.76	$127.93	$225.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $166.43 / $206.37	Professional		$127.59	$166.43	$206.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $136.32 / $211.70	Professional		$105.63	$136.32	$211.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.76 / $128.06 / $256.98	Facility		$93.76	$128.06	$256.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $154.29 / $283.92	Professional		$110.62	$154.29	$283.92
United Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $126.76 / $189.28	Professional		$93.40	$126.76	$189.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $111.24 / $152.68	Professional		$94.69	$111.24	$152.68