Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.51 / $108.60 / $153.10	Facility		$74.51	$108.60	$153.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $85.34 / $122.89	Professional		$65.68	$85.34	$122.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $127.58 / $134.40	Professional		$89.31	$127.58	$134.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $142.52 / $276.22	Facility		$57.75	$142.52	$276.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $93.22 / $131.07	Professional		$71.42	$93.22	$131.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $144.91 / $183.93	Professional		$127.58	$144.91	$183.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $128.99 / $128.99	Facility		$78.40	$128.99	$128.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $100.40 / $169.13	Professional		$61.23	$100.40	$169.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.21 / $441.13 / $441.13	Facility		$407.21	$441.13	$441.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $569.78 / $830.18 / $830.18	Professional		$569.78	$830.18	$830.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $98.94 / $141.18	Facility		$71.09	$98.94	$141.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $144.82 / $210.64	Professional		$85.40	$144.82	$210.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $104.77 / $158.71	Professional		$104.77	$104.77	$158.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $96.91 / $140.97	Facility		$70.13	$96.91	$140.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $103.07 / $173.89	Professional		$61.23	$103.07	$173.89
United Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $92.39 / $139.44	Professional		$54.16	$92.39	$139.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $127.58 / $178.55	Professional		$112.36	$127.58	$178.55